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General NPI Number Information
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NPI Number | 1093220196
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Entity Type | Organization
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Legal Business Name | CORNERSTONE MEDICAL HOUSE CALLS
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 10 GOOSE NECK LN
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-4867
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Country | US
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Telephone | 469-257-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 10 GOOSE NECK LN
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-4867
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Country | US
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Telephone | 469-257-3500
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MISS MARIE GRETTA BERNARD
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Credential |
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Telephone | 469-257-3500
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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 | 26NJ00558800
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License Number State | NJ
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