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General NPI Number Information
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NPI Number | 1033468442
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Entity Type | Organization
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Legal Business Name | CORNERSTONE SURGICARE LLC
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 511 HEWITT STREET
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City | PENSACOLA
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State | FL
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Zip | 32503
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Country | US
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Telephone | 850-912-6505
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Fax | 850-912-6506
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Provider Business Mailing Address
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Address Line | 511 HEWITT ST
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City | PENSACOLA
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State | FL
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Zip | 32503-2363
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Country | US
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Telephone | 850-912-6505
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Fax | 850-912-6506
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MRS. RENETA C DEWEY
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Credential |
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Telephone | 870-421-1424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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