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General NPI Number Information
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NPI Number | 1952865966
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Entity Type | Individual
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Provider Name | PAMELA F STEWART LMT
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Gender | Female
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 145 6TH AVE FL 7
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City | NEW YORK
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State | NY
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Zip | 10013-1548
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Country | US
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Telephone | 917-324-0465
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Fax |
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Provider Business Mailing Address
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Address Line | 333 W 56TH ST APT 7L
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City | NEW YORK
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State | NY
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Zip | 10019-3770
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Country | US
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Telephone | 917-324-0465
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0247951
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | BO1373
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License Number State | NY
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