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General NPI Number Information
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NPI Number | 1417342726
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Entity Type | Individual
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Provider Name | ARI MAXWELL STONE MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 720 N BOND ST
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City | SPRINGFIELD
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State | IL
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Zip | 62702-4952
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Country | US
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Telephone | 608-622-5225
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19662
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9662
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Country | US
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Telephone | 217-545-8000
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Fax | 217-545-6544
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 125.077490
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License Number State | IL
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