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General NPI Number Information
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NPI Number | 1922913110
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Entity Type | Individual
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Provider Name | PHILLIP DAVID STONE
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Gender | Male
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 35000 GUADALCANAL ST BLDG 596
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City | SAN DIEGO
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State | CA
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Zip | 92140-5599
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Country | US
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Telephone | 619-524-4045
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Fax |
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Provider Business Mailing Address
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Address Line | 10141 COLLETT WAY
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City | SAN DIEGO
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State | CA
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Zip | 92124-2902
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Country | US
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Telephone | 919-741-3726
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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 | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number |
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License Number State |
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