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General NPI Number Information
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NPI Number | 1336053032
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Entity Type | Organization
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Legal Business Name | CORNERSTONE CAREGIVING EAST LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 200 E DEPOT ST OFC 79
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City | LAGRANGE
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State | GA
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Zip | 30241-4625
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Country | US
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Telephone | 762-323-0093
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Fax |
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Provider Business Mailing Address
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Address Line | 2612 WASHINGTON AVE STE 1
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City | WACO
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State | TX
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Zip | 76710-7469
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF GOV PAYORS AND PROGRAMS
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Name | SIDNEY COZBY
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Credential |
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Telephone | 903-439-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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