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NPI 1245734862

NPI 1245734862 : ROBIN D. STONE : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1245734862
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN D. STONE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2018
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    Last Update Date     |    03/20/2018
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Provider Practice Location Address
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    Address Line         |    96 W HOUSTON ST STE 1R&1F 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10012-2553
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    Country              |    US
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    Telephone            |    917-746-0075
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    300 W 135TH ST APT 2N 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10030-2757
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    Country              |    US
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    Telephone            |    917-374-2149
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    P06362
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    License Number State |    NY
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