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General NPI Number Information
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NPI Number | 1083816250
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Entity Type | Organization
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Legal Business Name | ACCIDENT & REHAB CLINIC AT CORNERSTONE
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2717 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8464
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Country | US
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Telephone | 956-631-1800
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Fax | 956-631-7661
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Provider Business Mailing Address
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Address Line | 2717 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8464
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Country | US
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Telephone | 956-631-1800
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Fax | 956-631-7661
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | JAIME R MORALES
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Credential |
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Telephone | 956-631-1800
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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 | DC6462
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License Number State | TX
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