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General NPI Number Information
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NPI Number | 1548972656
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Entity Type | Individual
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Provider Name | LAUREN STONE
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Gender | Female
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 125 FINNEY BLVD
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City | MALONE
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State | NY
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Zip | 12953-1067
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Country | US
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Telephone | 518-481-8160
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Fax | 518-481-8161
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Provider Business Mailing Address
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Address Line | 78 BURKE BELMONT TOWNLINE RD
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City | BURKE
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State | NY
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Zip | 12917-1814
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Country | US
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Telephone | 518-319-5719
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 667790
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License Number State | NY
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