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General NPI Number Information
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NPI Number | 1548233182
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Entity Type | Organization
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Legal Business Name | CORNERSTONE MEDICAL CENTER, PA
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 04/07/2010
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Provider Practice Location Address
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Address Line | 1041 KIRKPATRICK RD SUITE 100
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City | BURLINGTON
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State | NC
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Zip | 27215-8148
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Country | US
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Telephone | 336-538-0565
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Fax | 336-538-0564
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Provider Business Mailing Address
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Address Line | 1041 KIRKPATRICK RD SUITE 100
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City | BURLINGTON
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State | NC
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Zip | 27215-8148
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Country | US
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Telephone | 336-538-0565
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Fax | 336-538-0564
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MAE LYNETTE MORRISEY
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Credential |
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Telephone | 336-538-0565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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