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General NPI Number Information
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NPI Number | 1881818276
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Entity Type | Individual
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Provider Name | JENNIFER LEE STONE O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 6115 FALLS RD SUITE 333
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City | BALTIMORE
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State | MD
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Zip | 21209-2219
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Country | US
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Telephone | 410-377-2422
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Fax | 410-377-7960
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Provider Business Mailing Address
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Address Line | 920 PROVIDENCE RD STE 100
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City | TOWSON
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State | MD
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Zip | 21286-2976
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Country | US
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Telephone | 410-486-1010
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2036
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License Number State | MD
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