MEDICARE: MS. HALLIE L STONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	NPI 100004158	MD

General Provider Information

NPI Number	:	1720230923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HALLIE L STONE

Provider Business Mailing Address
First Line	:	1929 EAST WEST HIGHWAY
Second Line	:	101
City	:	SILVER SPRING
State	:	MD
Zip	:	20910
Country	:	US
Telephone Number	:	301-587-1704
Fax Number	:

Provider Business Practice Location Address
First Line	:	1929 EAST WEST HIGHWAY
Second Line	:	101
City	:	SILVER SPRING
State	:	MD
Zip	:	20910
Country	:	US
Telephone Number	:	301-587-1704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	10/21/2008

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