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General NPI Number Information
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NPI Number | 1316744980
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Entity Type | Organization
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Legal Business Name | CORNERSTONE MOVEMENT AND PERFORMANCE INSTITUTE
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 3501 1ST AVENUE SOUTH STE 102A
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City | BIRMINGHAM
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State | AL
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Zip | 35222-3522
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Country | US
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Telephone | 205-997-3011
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Fax | 205-997-3053
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Provider Business Mailing Address
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Address Line | 4812 LINCREST DR
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City | BIRMINGHAM
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State | AL
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Zip | 35222-4404
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Country | US
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Telephone | 205-997-3011
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Fax | 205-997-3053
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Authorized Official
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Title or Position | CEO
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Name | DANIEL OQUINN II
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Credential | DC
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Telephone | 205-826-5219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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