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General NPI Number Information
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NPI Number | 1669435418
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Entity Type | Individual
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Provider Name | KENNETH ERIC STONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 4502 MEDICAL DR FL 3
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4402
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Country | US
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Telephone | 210-358-2074
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 MERTON MINTER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4404
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Country | US
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Telephone | 515-231-1239
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | P4515
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 33541
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License Number State | IA
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