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General NPI Number Information
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NPI Number | 1013304344
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Entity Type | Organization
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Legal Business Name | CORNERSTONE FAMILY HEALTH CARE, LLC
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | RT 30 MIDDLEFORK BOX 535
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City | SALYERSVILLE
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State | KY
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Zip | 41465-0535
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Country | US
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Telephone | 606-349-7710
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Fax | 606-349-7720
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Provider Business Mailing Address
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Address Line | RT 30 MIDDLEFORK BOX 535
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City | SALYERSVILLE
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State | KY
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Zip | 41465-0535
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Country | US
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Telephone | 606-349-7710
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Fax | 606-349-7720
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | SARAH ANN PATRICK
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Credential | ARNP
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Telephone | 606-349-7710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3004848
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License Number State | KY
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