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General NPI Number Information
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NPI Number | 1053255687
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Entity Type | Organization
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Legal Business Name | CORNERSTONE BEHAVIORAL HEALTH AND ADDICTION CENTER
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 483 PRUDEN DR
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City | PICKERINGTON
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State | OH
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Zip | 43147-2239
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Country | US
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Telephone | 614-745-4031
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 TAYLOR PARK DR STE 1143
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-8052
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Country | US
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Telephone | 614-745-4031
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | EMMANUEL ENOABANE
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Credential | NP
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Telephone | 614-745-4031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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