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General NPI Number Information
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NPI Number | 1922428556
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Entity Type | Organization
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Legal Business Name | DAVID A STONE
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 79 BRINKERHOFF ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-2703
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Country | US
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Telephone | 708-805-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 79 BRINKERHOFF ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-2703
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Country | US
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Telephone | 708-805-4357
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Fax |
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Authorized Official
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Title or Position | PRIVATE MENTAL HEALTH COUNSELOR
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Name | DR. DAVID A STONE
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Credential | LMHC
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Telephone | 708-805-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 001349
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License Number State | NY
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