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General NPI Number Information
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NPI Number | 1346685385
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Entity Type | Organization
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Legal Business Name | CORNERSTONE HEALTH CARE PA
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 311 E PRESNELL ST
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City | ASHEBORO
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State | NC
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Zip | 27203-4744
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Country | US
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Telephone | 336-680-2253
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Fax | 336-802-2534
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Provider Business Mailing Address
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Address Line | 1701 WESTCHESTER DRIVE SUITE 850
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City | HIGH POINT
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State | NC
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Zip | 27262-7524
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Country | US
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Telephone | 336-802-2536
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Fax | 336-802-2534
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | GRACE TERRELL
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Credential | M.D.
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Telephone | 336-802-2536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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