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NPI 1851339121

NPI 1851339121 : DEBORAH DIANE STONER-BRYAN M.D : HIAWATHA, KS

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General NPI Number Information
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    NPI Number           |    1851339121
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH DIANE STONER-BRYAN M.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2006
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    503 OREGON ST 
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    City                 |    HIAWATHA
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    State                |    KS
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    Zip                  |    66434-2221
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    Country              |    US
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    Telephone            |    785-742-4100
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    Fax                  |    785-742-4101
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Provider Business Mailing Address
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    Address Line         |    503 OREGON ST 
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    City                 |    HIAWATHA
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    State                |    KS
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    Zip                  |    66434-2221
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    Country              |    US
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    Telephone            |    785-742-4100
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    Fax                  |    785-742-4101
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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       |    119706
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    License Number State |    MO
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