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General NPI Number Information
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NPI Number | 1386668325
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Entity Type | Individual
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Provider Name | ANNA MARIKA STONE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 40 NORTHCREST DR STE 1
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-1698
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Country | US
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Telephone | 712-328-9605
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Fax |
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Provider Business Mailing Address
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Address Line | 515 N 68TH ST
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City | OMAHA
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State | NE
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Zip | 68132-2656
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Country | US
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Telephone | 402-708-1855
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 01087433A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 23934
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD-43271
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | MD-43271
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 60919
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License Number State | MN
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