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General NPI Number Information
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NPI Number | 1194155010
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Entity Type | Organization
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Legal Business Name | CORNERSTONE HEALTHCARE INC
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 5292 S COLLEGE DR 304
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City | MURRAY
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State | UT
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Zip | 84123-2991
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Country | US
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Telephone | 801-716-7800
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Fax | 877-676-6599
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Provider Business Mailing Address
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Address Line | 5292 S COLLEGE DR 304
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City | MURRAY
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State | UT
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Zip | 84123-2991
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Country | US
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Telephone | 801-716-7800
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Fax | 877-676-6599
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Authorized Official
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Title or Position | CEO
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Name | DEBORAH A PETERS
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Credential | RN
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Telephone | 801-913-7913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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