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General NPI Number Information
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NPI Number | 1346427473
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Entity Type | Organization
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Legal Business Name | GARY F STONES DPM
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 566 BROADWAY
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City | MASSAPEQUA
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State | NY
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Zip | 11758-5017
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Country | US
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Telephone | 516-799-6616
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Fax | 516-799-6472
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Provider Business Mailing Address
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Address Line | 566 BROADWAY
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City | MASSAPEQUA
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State | NY
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Zip | 11758-5017
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Country | US
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Telephone | 516-799-6616
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Fax | 516-799-6472
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Authorized Official
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Title or Position | OWNER
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Name | GARY F STONES
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Credential | DPM
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Telephone | 516-799-6616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N0038101
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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