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General NPI Number Information
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NPI Number | 1003827445
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Entity Type | Organization
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Legal Business Name | CORNERSTONE CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1415 GREENVILLE HWY
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City | HENDERSONVILLE
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State | NC
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Zip | 28792
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Country | US
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Telephone | 828-698-0102
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Fax | 828-698-0639
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Provider Business Mailing Address
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Address Line | 1415 GREENVILLE HWY
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City | HENDERSONVILLE
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State | NC
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Zip | 28792
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Country | US
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Telephone | 828-698-0102
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Fax | 828-698-0639
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Authorized Official
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Title or Position | DOCTOR OWNER OF PRACTICE
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Name | DR. RUSSELL DALE TEMPLETON
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Credential | DC
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Telephone | 828-698-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | NC2174
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License Number State |
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