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General NPI Number Information
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NPI Number | 1922319102
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Entity Type | Individual
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Provider Name | CAROL STEWART NP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 7400 EAST DR 102 MOORE HALL
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City | MONTGOMERY
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State | AL
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Zip | 36117
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Country | US
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Telephone | 334-244-3281
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Fax | 334-244-3396
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Provider Business Mailing Address
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Address Line | PO BOX 11087
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City | MONTGOMERY
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State | AL
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Zip | 36111-0087
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Country | US
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Telephone | 334-481-1599
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Fax | 334-356-1426
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-045437
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License Number State | AL
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