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General NPI Number Information
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NPI Number | 1699377937
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Entity Type | Organization
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Legal Business Name | CORNERSTONE BEHAVIORAL HEALTH & WELLNESS, PLLC
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 1006 UNION RD STE B
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City | GASTONIA
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State | NC
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Zip | 28054-5591
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Country | US
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Telephone | 704-974-6072
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Fax |
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Provider Business Mailing Address
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Address Line | 225 CIDER DR
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City | SHELBY
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State | NC
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Zip | 28152-8928
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Country | US
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Telephone | 704-974-6072
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA ROBINSON
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Credential |
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Telephone | 704-974-6072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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