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General NPI Number Information
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NPI Number | 1023823325
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Entity Type | Organization
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Legal Business Name | CORNERSTONE INTEGRATED HEALTH AND WELLNESS
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 24 COMPTON RD STE 205
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City | CINCINNATI
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State | OH
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Zip | 45216-1036
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Country | US
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Telephone | 513-790-7605
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Fax |
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Provider Business Mailing Address
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Address Line | 5814 ELDON DR
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City | LIBERTY TWP
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State | OH
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Zip | 45011-7624
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Country | US
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Telephone | 513-667-6358
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PAMELA ESI DAVIS
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Credential | NP
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Telephone | 513-667-6358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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