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NPI 1013728641

NPI 1013728641 : KATHLEEN STONE : PALO ALTO, CA

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General NPI Number Information
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    NPI Number           |    1013728641
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    Entity Type          |    Individual 
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    Provider Name        |    KATHLEEN STONE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/14/2025
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    Last Update Date     |    01/14/2025
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Provider Practice Location Address
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    Address Line         |    3825 EL CAMINO REAL 
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    City                 |    PALO ALTO
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    State                |    CA
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    Zip                  |    94306-3324
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    Country              |    US
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    Telephone            |    650-274-1604
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    370 SPINNAKER ST 
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    City                 |    FOSTER CITY
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    State                |    CA
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    Zip                  |    94404-3412
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    LPT-32006
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    License Number State |    AZ
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