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NPI 1588711634

NPI 1588711634 : STONE MEDCO INC : LUDLOW, MS

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General NPI Number Information
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    NPI Number           |    1588711634
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    Entity Type          |    Organization 
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    Legal Business Name  |    STONE MEDCO INC 
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Dates
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    Enumeration Date     |    01/04/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3706 RIVER BEND ROAD 
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    City                 |    LUDLOW
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    State                |    MS
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    Zip                  |    39098
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    Country              |    US
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    Telephone            |    601-540-7404
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 125 
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    City                 |    LUDLOW
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    State                |    MS
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    Zip                  |    39098-0125
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ANDY  STONE 
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    Credential           |    
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    Telephone            |    601-540-7404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    MS
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Taxonomy #2
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    Taxonomy Code        |    332BD1200X
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    Taxonomy Name        |    Dialysis Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    MS
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Taxonomy #3
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    MS
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Taxonomy #4
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    Taxonomy Code        |    332BN1400X
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    Taxonomy Name        |    Nursing Facility Supplies (DME)
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    License Number       |    
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    License Number State |    MS
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