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General NPI Number Information
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NPI Number | 1730587874
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Entity Type | Organization
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Legal Business Name | CORNERSTONE HEALTH CARE, LLC
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | 1 UNIVERSITY PKWY CAMPUS BOX 50
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City | HIGH POINT
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State | NC
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Zip | 27268-0001
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Country | US
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Telephone | 336-841-4683
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Fax | 336-841-4693
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Provider Business Mailing Address
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Address Line | 1701 WESTCHESTER DR STE. 850
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City | HIGH POINT
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State | NC
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Zip | 27262-7008
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Country | US
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Telephone | 336-802-2400
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Fax | 336-802-2534
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | CHARLES DOUGLAS MATHIS
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Credential |
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Telephone | 336-802-2536
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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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