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General NPI Number Information
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NPI Number | 1760464887
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Entity Type | Individual
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Provider Name | PAUL DURANT STONEMAN PT, PHD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 555 WEST SR 164
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City | SALEM
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State | UT
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Zip | 84653
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Country | US
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Telephone | 385-203-1313
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Fax | 801-429-0629
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Provider Business Mailing Address
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Address Line | 1055 N 500 W ATTN: CREDENTIALING
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City | PROVO
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State | UT
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Zip | 84604-7324
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Country | US
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Telephone | 801-354-8225
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Fax | 801-418-0941
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 50808
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 50808
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License Number State | UT
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