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General NPI Number Information
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NPI Number | 1275738510
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PEDIATRICS ASSOCIATES
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 90 HEALTH PARK DR STE 160
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City | LOUISVILLE
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State | CO
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Zip | 80027-9742
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Country | US
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Telephone | 303-673-9030
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Fax | 303-604-1095
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Provider Business Mailing Address
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Address Line | 90 HEALTH PARK DR STE 160
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City | LOUISVILLE
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State | CO
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Zip | 80027-9742
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Country | US
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Telephone | 303-673-9030
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Fax | 303-604-1095
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT CARLIN BUCKNAM
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Credential | M, D.
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Telephone | 303-673-9030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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