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General NPI Number Information
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NPI Number | 1720867450
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Entity Type | Organization
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Legal Business Name | CORNERSTONE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 9894 BISSONNET ST STE 210
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City | HOUSTON
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State | TX
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Zip | 77036-8246
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Country | US
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Telephone | 469-257-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 30 BELLE OAK LN
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City | BELLEVILLE
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State | NJ
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Zip | 07109-2184
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Country | US
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Telephone | 469-257-3500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TOLULOPE KOLAWOLE
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Credential |
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Telephone | 469-257-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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