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General NPI Number Information
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NPI Number | 1619388451
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Entity Type | Individual
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Provider Name | CRAIG STONE
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Gender | Male
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 2266 N PROSPECT AVE
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City | MILWAUKEE
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State | WI
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Zip | 53202-6319
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Country | US
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Telephone | 414-405-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 2022 E EDGEWOOD AVE
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City | SHOREWOOD
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State | WI
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Zip | 53211-2935
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Country | US
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Telephone | 414-405-0670
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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