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General NPI Number Information
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NPI Number | 1992296552
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Entity Type | Organization
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Legal Business Name | STEWARDSHIP AT HOME PRIMARY HEALTH CARE PLLC
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Dates
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Enumeration Date | 05/19/2018
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Last Update Date | 05/19/2018
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Provider Practice Location Address
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Address Line | 2003 AVENUE G
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City | HONDO
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State | TX
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Zip | 78861-2545
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Country | US
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Telephone | 830-584-2015
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Fax | 830-584-2056
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Provider Business Mailing Address
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Address Line | 2003 AVENUE G
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City | HONDO
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State | TX
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Zip | 78861-2545
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Country | US
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Telephone | 830-584-2015
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Fax | 830-584-2056
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH STEWARD
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Credential | FNP
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Telephone | 830-584-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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