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General NPI Number Information
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NPI Number | 1770920472
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Entity Type | Individual
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Provider Name | JONATHAN STONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 3111 W RAWSON AVE STE 200205
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City | FRANKLIN
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State | WI
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Zip | 53132-9417
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Country | US
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Telephone | 414-384-6700
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Fax | 414-761-1921
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Provider Business Mailing Address
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Address Line | 3077 N MAYFAIR RD STE 305
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City | WAUWATOSA
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State | WI
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Zip | 53222-4305
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Country | US
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Telephone | 414-384-6700
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Fax | 414-727-1058
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 256175
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A153261
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License Number State | CA
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