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General NPI Number Information
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NPI Number | 1093382756
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Entity Type | Organization
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Legal Business Name | CORNERSTONE KAZEN CO.
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 1835 7TH ST NW STE 126
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City | WASHINGTON
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State | DC
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Zip | 20001-3107
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Country | US
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Telephone | 202-505-1345
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 7TH ST NW STE 126
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City | WASHINGTON
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State | DC
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Zip | 20001-3107
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Country | US
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Telephone | 202-505-1345
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA MOBLEY-TOOMBS
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Credential |
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Telephone | 202-505-1345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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