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General NPI Number Information
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NPI Number | 1477912970
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Entity Type | Individual
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Provider Name | COURTNEY STONE CRNP - PEDIATRICS
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Gender | Female
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 11908 DARNESTOWN RD
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City | NORTH POTOMAC
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State | MD
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Zip | 20878-2295
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Country | US
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Telephone | 301-990-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 16908 FLICKERWOOD RD
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City | PARKTON
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State | MD
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Zip | 21120-9766
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Country | US
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Telephone | 410-428-5128
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 206219
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License Number State | MD
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