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General NPI Number Information
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NPI Number | 1336351774
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Entity Type | Organization
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Legal Business Name | CORNERSTONE MANAGEMENT LLC
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 663 OAKLAND AVE STE A
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City | HELENA
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State | AR
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Zip | 72342-1518
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Country | US
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Telephone | 870-572-6575
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Fax | 870-572-6265
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Provider Business Mailing Address
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Address Line | 663 OAKLAND AVE STE A
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City | HELENA
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State | AR
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Zip | 72342-1518
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Country | US
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Telephone | 870-572-6575
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Fax | 870-572-6265
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARRY REXEL BROWNING JR.
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Credential | D.D.S.
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Telephone | 870-572-6575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3017
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License Number State | AR
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