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General NPI Number Information
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NPI Number | 1366801979
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Entity Type | Individual
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Provider Name | KEHLY ANN STONE LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 1335 PHAY AVE STE B
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City | CANON CITY
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State | CO
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Zip | 81212
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Country | US
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Telephone | 719-445-6689
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Fax | 719-372-8281
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Provider Business Mailing Address
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Address Line | 1335 PHAY AVE STE B
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City | CANON CITY
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State | CO
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Zip | 81212
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Country | US
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Telephone | 719-429-7528
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Fax | 719-372-8281
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09925398
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License Number State | CO
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