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General NPI Number Information
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NPI Number | 1255694279
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Entity Type | Organization
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Legal Business Name | CORNERSTONE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 2265 ROSWELL RD STE 100
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City | MARIETTA
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State | GA
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Zip | 30062-2980
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Country | US
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Telephone | 770-557-8252
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Fax |
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Provider Business Mailing Address
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Address Line | 2265 ROSWELL RD STE 100
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City | MARIETTA
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State | GA
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Zip | 30062-2980
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Country | US
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Telephone | 770-557-8252
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CLAUDIA OSTERHOUT
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Credential |
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Telephone | 770-557-8252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 033-R-0980
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License Number State | GA
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