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General NPI Number Information
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NPI Number | 1982780565
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Entity Type | Individual
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Provider Name | DIANNA RAE STONE BA DC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3923 PIEDMONT AVE
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City | OAKLAND
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State | CA
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Zip | 94611-4546
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Country | US
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Telephone | 510-287-6191
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Fax | 510-601-7110
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Provider Business Mailing Address
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Address Line | 4003 PARK BLVD #4
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City | OAKLAND
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State | CA
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Zip | 94602
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Country | US
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Telephone | 510-287-6191
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Fax | 510-601-7110
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC28087
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC5224
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License Number State | CO
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