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NPI 1457463754

NPI 1457463754 : DEBRA ANN STONE MSN, LCSW : CLAREMORE, OK

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General NPI Number Information
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    NPI Number           |    1457463754
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    Entity Type          |    Individual 
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    Provider Name        |    DEBRA ANN STONE MSN, LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    08/30/2011
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Provider Practice Location Address
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    Address Line         |    2990 N SIOUX AVE 
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    City                 |    CLAREMORE
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    State                |    OK
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    Zip                  |    74017-3700
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    Country              |    US
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    Telephone            |    918-342-2622
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    Fax                  |    918-342-2641
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Provider Business Mailing Address
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    Address Line         |    2626 E 67TH ST 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74136-4337
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    Country              |    US
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    Telephone            |    918-760-8116
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    Fax                  |    918-492-3542
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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       |    1433
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    R0081435
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    License Number State |    OK
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Taxonomy #3
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    Taxonomy Code        |    364S00000X
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    Taxonomy Name        |    Clinical Nurse Specialist
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    License Number       |    81435
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    License Number State |    OK
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