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General NPI Number Information
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NPI Number | 1710012810
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Entity Type | Organization
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Legal Business Name | CORNERSTONE HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 576 BRIDGE ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-1342
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Country | US
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Telephone | 317-834-8034
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Fax | 317-584-3016
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Provider Business Mailing Address
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Address Line | 576 BRIDGE ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-1342
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Country | US
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Telephone | 317-834-8034
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Fax | 317-584-3016
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEPHEN J. FITZPATRICK
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Credential |
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Telephone | 317-430-2258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 11-012076-1
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License Number State | IN
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