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NPI 1962127944

NPI 1962127944 : DEVIN RYAN STONE N.D. : DEL MAR, CA

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General NPI Number Information
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    NPI Number           |    1962127944
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    Entity Type          |    Individual 
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    Provider Name        |    DEVIN RYAN STONE N.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/11/2022
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    Last Update Date     |    10/11/2022
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Provider Practice Location Address
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    Address Line         |    1412 CAMINO DEL MAR 
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    City                 |    DEL MAR
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    State                |    CA
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    Zip                  |    92014-2551
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    Country              |    US
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    Telephone            |    626-818-4566
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1412 CAMINO DEL MAR 
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    City                 |    DEL MAR
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    State                |    CA
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    Zip                  |    92014-2551
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    Country              |    US
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    Telephone            |    626-818-4566
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    ND1375
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    License Number State |    CA
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