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General NPI Number Information
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NPI Number | 1598610834
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Entity Type | Organization
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Legal Business Name | RED STONE MEDICAL SC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 2500 N MAYFAIR RD STE 325
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City | WAUWATOSA
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State | WI
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Zip | 53226-1443
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Country | US
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Telephone | 414-800-5359
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Fax | 414-800-6308
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Provider Business Mailing Address
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Address Line | 2500 N MAYFAIR RD STE 325
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City | WAUWATOSA
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State | WI
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Zip | 53226-1443
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Country | US
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Telephone | 414-800-5359
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Fax | 414-800-6308
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Authorized Official
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Title or Position | OWNER
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Name | DR. ITAY KESHET
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Credential | MD
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Telephone | 347-286-8169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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