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General NPI Number Information
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NPI Number | 1104769181
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Entity Type | Organization
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Legal Business Name | CORNERSTONE CARE INC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 351 W BEAU ST STE 301
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City | WASHINGTON
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State | PA
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Zip | 15301-4663
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Country | US
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Telephone | 724-228-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 7 GLASSWORKS RD
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City | GREENSBORO
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State | PA
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Zip | 15338-9507
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Country | US
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Telephone | 724-943-3308
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Fax | 724-943-3310
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | LORI BONALEWICZ
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Credential |
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Telephone | 724-201-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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