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NPI 1659168623

NPI 1659168623 : CORNERSTONE FAMILY HEALTH, PLLC : SPRUCE PINE, NC

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General NPI Number Information
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    NPI Number           |    1659168623
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    Entity Type          |    Organization 
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    Legal Business Name  |    CORNERSTONE FAMILY HEALTH, PLLC 
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Dates
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    Enumeration Date     |    04/23/2025
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    Last Update Date     |    04/23/2025
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Provider Practice Location Address
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    Address Line         |    215 SKYVIEW CIR 
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    City                 |    SPRUCE PINE
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    State                |    NC
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    Zip                  |    28777-9521
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    Country              |    US
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    Telephone            |    828-673-8409
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    215 SKYVIEW CIR 
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    City                 |    SPRUCE PINE
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    State                |    NC
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    Zip                  |    28777-9521
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    Country              |    US
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    Telephone            |    828-673-8409
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CONTRACTING MANAGER
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    Name                 |     JANET  WOODALL 
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    Credential           |    
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    Telephone            |    828-673-8409
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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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