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General NPI Number Information
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NPI Number | 1487946083
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Entity Type | Organization
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Legal Business Name | CORNERSTONE FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 05/15/2011
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 2144 DECLARATION DR
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City | INDEPENDENCE
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State | KY
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Zip | 41051-7034
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Country | US
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Telephone | 859-815-9371
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Fax | 859-356-0686
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Provider Business Mailing Address
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Address Line | 2144 DECLARATION DR
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City | INDEPENDENCE
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State | KY
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Zip | 41051-7034
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Country | US
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Telephone | 859-815-9371
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Fax | 859-356-0686
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Authorized Official
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Title or Position | OWNER
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Name | DR. DIERDRA ROBISON
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Credential | DC
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Telephone | 859-815-9371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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