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General NPI Number Information
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NPI Number | 1336579697
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Entity Type | Individual
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Provider Name | TRACEY STONE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 330 E PULASKI HWY
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City | ELKTON
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State | MD
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Zip | 21921-6435
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Country | US
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Telephone | 410-398-3445
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Fax | 410-620-1538
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Provider Business Mailing Address
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Address Line | PO BOX 8571
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City | LANCASTER
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State | PA
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Zip | 17604-8571
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Country | US
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Telephone | 855-834-1466
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Fax | 302-733-0854
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | L1-0036705
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0000720
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC001289
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License Number State | MD
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