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General NPI Number Information
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NPI Number | 1588041545
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PRIMARY CARE
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 1925 HOFFMEYER RD SUITE 100
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City | FLORENCE
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State | SC
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Zip | 29501-4011
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Country | US
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Telephone | 843-665-0102
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Fax |
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Provider Business Mailing Address
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Address Line | 4125 TIFFANY DR
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City | FLORENCE
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State | SC
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Zip | 29501-5588
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Country | US
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Telephone | 843-409-6585
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABRAHAM ERIC ROWSON
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Credential | MD
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Telephone | 843-409-6585
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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 | 28103
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License Number State | SC
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