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General NPI Number Information
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NPI Number | 1396910899
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Entity Type | Individual
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Provider Name | KATHRYN LONG STONE C.N.S
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Gender | Female
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 01/09/2009
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Provider Practice Location Address
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Address Line | 901 W 38TH ST STE 200 SOUTHWEST REGIONAL CANCER CENTER
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City | AUSTIN
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State | TX
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Zip | 78705-1165
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Country | US
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Telephone | 512-421-4100
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Fax | 512-419-0924
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-437-9605
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 2007004574
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License Number State | TX
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