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General NPI Number Information
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NPI Number | 1003092602
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Entity Type | Individual
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Provider Name | KRYSTAL GAIL STONE CSW
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Gender | Female
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 03/07/2018
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Provider Practice Location Address
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Address Line | 2720 FREDERICA ST
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City | OWENSBORO
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State | KY
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Zip | 42301
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Country | US
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Telephone | 270-926-2484
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Fax | 270-685-6015
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Provider Business Mailing Address
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Address Line | SUNRISE CHILDREN'S SERVICES PO BOX 1429
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City | MT WASHINGTON
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State | KY
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Zip | 40047
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Country | US
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Telephone | 502-538-1000
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Fax | 502-538-1100
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CSW6920
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License Number State | KY
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