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General NPI Number Information
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NPI Number | 1336465780
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Entity Type | Organization
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Legal Business Name | DENNIS STONE, M.D., P.A.
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 3408 STATE ROAD 13
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City | SAINT JOHNS
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State | FL
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Zip | 32259-9270
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Country | US
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Telephone | 904-230-3188
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Fax | 904-230-3189
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Provider Business Mailing Address
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Address Line | 3408 STATE ROAD 13
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City | SAINT JOHNS
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State | FL
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Zip | 32259-9270
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Country | US
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Telephone | 904-230-3188
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Fax | 904-230-3189
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS R STONE
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Credential | MD
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Telephone | 904-230-3188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME30874
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License Number State | FL
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