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General NPI Number Information
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NPI Number | 1497553341
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Entity Type | Organization
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Legal Business Name | 5 STONES THERAPY AND WELLNESS
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 5565 AIRPORT HWY STE 200
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City | TOLEDO
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State | OH
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Zip | 43615-7379
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Country | US
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Telephone | 419-578-7273
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Fax | 419-531-6148
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Provider Business Mailing Address
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Address Line | 5565 AIRPORT HWY STE 200
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City | TOLEDO
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State | OH
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Zip | 43615-7379
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Country | US
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Telephone | 419-578-7273
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Fax | 419-531-6148
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. SALLYANN TREADAWAY
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Credential | PH.D.
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Telephone | 419-215-6832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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