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NPI 1629013750

NPI 1629013750 : KIRK L STONER MD : PLENTYWOOD, MT

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General NPI Number Information
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    NPI Number           |    1629013750
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    Entity Type          |    Individual 
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    Provider Name        |    KIRK L STONER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/20/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    448 W LAUREL AVE 
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    City                 |    PLENTYWOOD
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    State                |    MT
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    Zip                  |    59254
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    Country              |    US
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    Telephone            |    406-765-1501
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    Fax                  |    406-765-1506
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Provider Business Mailing Address
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    Address Line         |    PO BOX 217 448 W LAUREL AVE
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    City                 |    PLENTYWOOD
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    State                |    MT
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    Zip                  |    59254
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    Country              |    US
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    Telephone            |    406-765-1501
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    Fax                  |    406-765-1506
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    4705
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    License Number State |    MT
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