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General NPI Number Information
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NPI Number | 1922026046
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Entity Type | Individual
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Provider Name | THOMAS K STEWART P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 1205 N MAIN ST
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City | MARION
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State | SC
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Zip | 29571-2008
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Country | US
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Telephone | 843-423-0760
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Fax | 843-423-8138
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Provider Business Mailing Address
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Address Line | 1205 N MAIN ST
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City | MARION
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State | SC
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Zip | 29571-2008
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Country | US
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Telephone | 843-423-0760
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Fax | 843-423-8138
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | A212
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License Number State | SC
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