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General NPI Number Information
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NPI Number | 1962649053
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Entity Type | Individual
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Provider Name | DE'ANDRA MICHELLE STEWART D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 2114 CENTRAL PKWY SW STE G
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City | DECATUR
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State | AL
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Zip | 35601-6850
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Country | US
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Telephone | 256-777-6762
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Fax | 256-649-2291
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Provider Business Mailing Address
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Address Line | 1605 THOMAS DR SW
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City | DECATUR
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State | AL
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Zip | 35601-2750
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Country | US
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Telephone | 256-566-8619
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Fax | 256-822-2215
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 2263
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2263
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License Number State | AL
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