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General NPI Number Information
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NPI Number | 1609217868
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Entity Type | Organization
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Legal Business Name | STONE FAMILY PRACTICE PLLC
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 1019 PADUCAH RD STE B
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City | MAYFIELD
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State | KY
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Zip | 42066-3616
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Country | US
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Telephone | 270-970-0924
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Fax | 866-985-7514
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Provider Business Mailing Address
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Address Line | 1019 PADUCAH RD STE B
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City | MAYFIELD
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State | KY
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Zip | 42066-3616
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Country | US
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Telephone | 270-970-0924
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Fax | 866-985-7514
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. RICHARD DARREN STONE
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Credential | DO
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Telephone | 270-804-7408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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