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General NPI Number Information
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NPI Number | 1467365833
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Entity Type | Organization
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Legal Business Name | CORNERSTONE COMMUNITY CHURCH
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 31910 MISSION TRL
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4539
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Country | US
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Telephone | 951-674-8661
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Fax |
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Provider Business Mailing Address
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Address Line | 34570 MONTE VISTA DR
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City | WILDOMAR
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State | CA
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Zip | 92595-8035
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Country | US
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Telephone | 951-674-8661
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE OPERATIONS PASTOR
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Name | JOHN AARON CARR
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Credential |
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Telephone | 951-796-0014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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