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General NPI Number Information
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NPI Number | 1801262332
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Entity Type | Individual
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Provider Name | JENINE YAGER STONE FNP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 625 W. CITRACADO PKWY SUITE 108
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City | ESCONDIDO
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State | CA
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Zip | 92025
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Country | US
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Telephone | 760-743-1431
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Fax | 760-743-6455
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Provider Business Mailing Address
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Address Line | 625 W. CITRACADO PKWY SUITE 108
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City | ESCONDIDO
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State | CA
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Zip | 92025
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Country | US
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Telephone | 760-743-1431
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Fax | 760-743-6455
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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 | RN95059156
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License Number State | CA
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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 | FNP95002748
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License Number State | CA
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