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General NPI Number Information
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NPI Number | 1326960881
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Entity Type | Organization
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Legal Business Name | CORNERSTONE REHAB AND LYMPHEDEMA CARE LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 1924 EDGEWATER ST
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City | CELINA
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State | TX
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Zip | 75009-2145
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Country | US
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Telephone | 469-382-2219
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Fax | 214-975-6100
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Provider Business Mailing Address
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Address Line | PO BOX 6104
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City | MCKINNEY
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State | TX
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Zip | 75071-5103
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Country | US
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Telephone |
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Fax | 214-975-6100
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Authorized Official
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Title or Position | MANAGER
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Name | MR. IRENEO CANDELA JR.
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Credential |
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Telephone | 856-558-1268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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