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General NPI Number Information
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NPI Number | 1972789519
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Entity Type | Individual
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Provider Name | JODIE A STONE PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 7811 MONTROSE RD STE 220
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City | POTOMAC
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State | MD
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Zip | 20854-3353
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Country | US
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Telephone | 301-588-7888
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Fax | 301-587-5002
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Provider Business Mailing Address
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Address Line | PO BOX 26135
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City | BELFAST
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State | ME
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Zip | 04915-2012
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Country | US
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Telephone | 301-588-7888
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Fax | 301-587-5002
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0001822
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License Number State | MD
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