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General NPI Number Information
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NPI Number | 1487708244
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PROSTHETICS AND ORTHOTICS INC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 7631 212TH ST SW SUITE 102A
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 425-776-1247
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Fax | 425-776-8045
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Provider Business Mailing Address
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Address Line | 1300 44TH ST SE
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City | EVERETT
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State | WA
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Zip | 98203-2200
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Country | US
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Telephone | 425-339-2559
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Fax | 425-339-1583
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID J HUGHES
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Credential |
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Telephone | 425-339-2559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 600596756
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License Number State | WA
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