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General NPI Number Information
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NPI Number | 1215487939
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Entity Type | Organization
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Legal Business Name | CORNERSTONE SUPPORTS AND CONSULTING LLC
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1515 S ORLANDO AVE STE F
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City | MAITLAND
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State | FL
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Zip | 32751-6471
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Country | US
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Telephone | 407-860-0639
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 PLUMGRASS CIR
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City | OCOEE
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State | FL
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Zip | 34761-5717
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Country | US
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Telephone | 407-860-0639
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NICHOLE DAWKINS
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Credential | RMHCI
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Telephone | 407-860-0639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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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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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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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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