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General NPI Number Information
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NPI Number | 1689863722
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Entity Type | Organization
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Legal Business Name | SALLI SMITH SLONE, MD, PSC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 111 DANIEL DRIVE
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City | DANVILLE
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State | KY
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Zip | 40422-2527
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Country | US
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Telephone | 859-236-0916
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Fax | 859-236-0917
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Provider Business Mailing Address
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Address Line | P O BOX 6
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City | DANVILLE
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State | KY
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Zip | 40423-0006
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Country | US
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Telephone | 859-236-0916
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Fax | 859-236-0917
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Authorized Official
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Title or Position | OWNER/MD
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Name | SALLI SMITH SLONE
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Credential | MD
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Telephone | 859-236-0916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 32347
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License Number State | KY
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