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General NPI Number Information
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NPI Number | 1356450951
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Entity Type | Organization
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Legal Business Name | BLUESTONE PEDIATRICS, PLC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4059 QUARLES CT
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City | HARRISONBURG
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State | VA
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Zip | 22801-8717
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Country | US
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Telephone | 540-437-4800
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Fax | 540-437-9012
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Provider Business Mailing Address
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Address Line | 4059 QUARLES CT
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City | HARRISONBURG
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State | VA
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Zip | 22801-8717
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Country | US
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Telephone | 540-437-4800
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Fax | 540-437-9012
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARIA F MASON
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Credential |
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Telephone | 540-437-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101044033
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License Number State | VA
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