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General NPI Number Information
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NPI Number | 1609877745
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Entity Type | Individual
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Provider Name | PAUL D. STONE PHARM.D., R.PH.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 2001 N JEFFERSON AVE
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2338
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Country | US
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Telephone | 903-577-6096
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Fax | 903-577-6396
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Provider Business Mailing Address
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Address Line | 167 JACKSON RD
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City | KILGORE
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State | TX
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Zip | 75662-0009
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Country | US
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Telephone | 717-448-6174
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP-039426-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 35409
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License Number State | TX
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