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General NPI Number Information
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NPI Number | 1194725739
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Entity Type | Organization
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Legal Business Name | CORNERSTONE MONTGOMERY, INC.
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 6040 SOUTHPORT DR
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City | BETHESDA
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State | MD
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Zip | 20814-1848
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Country | US
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Telephone | 301-493-4200
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Fax | 301-493-6209
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Provider Business Mailing Address
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Address Line | 6040 SOUTHPORT DR
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City | BETHESDA
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State | MD
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Zip | 20814-1848
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Country | US
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Telephone | 301-493-4200
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Fax | 301-493-6209
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MICHAEL OSTROWSKI
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Credential |
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Telephone | 301-493-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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