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General NPI Number Information
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NPI Number | 1942498340
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Entity Type | Individual
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Provider Name | KANTESSA STEWART
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Gender | Female
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 300 3RD AVE
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City | SIDNEY
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State | OH
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Zip | 45365-1116
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Country | US
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Telephone | 800-824-9861
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Fax | 937-438-8630
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Provider Business Mailing Address
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Address Line | 6551 CENTERVILLE BUSINESS PKWY STE 120
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City | CENTERVILLE
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State | OH
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Zip | 45459-2696
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Country | US
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Telephone | 937-415-9100
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Fax | 937-415-9191
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4765
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License Number State | OH
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