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General NPI Number Information
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NPI Number | 1942661830
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Entity Type | Individual
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Provider Name | RACHEL STEWART
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Gender | Female
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 100 MEDICAL ARTS BLDG STE 170 100 MEDICAL ARTS BLDG. SUITE 170
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City | KITTANNING
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State | PA
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Zip | 16201-7106
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Country | US
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Telephone | 724-548-2283
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MEDICAL ARTS BLDG 100 MEDICAL ARTS BLDG. SUITE 170
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City | KITTANNING
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State | PA
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Zip | 16201-7135
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Country | US
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Telephone |
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD467049
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License Number State | PA
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