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General NPI Number Information
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NPI Number | 1750406989
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Entity Type | Organization
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Legal Business Name | CORNERSTONE HEALTH CARE, PA
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 4515 PREMIER DRIVE SUITE 402
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City | HIGH POINT
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State | NC
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Zip | 27265-8356
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Country | US
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Telephone | 336-802-2210
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Fax | 336-802-2211
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Provider Business Mailing Address
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Address Line | 1701 WESTCHESTER DRIVE SUITE 850
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City | HIGH POINT
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State | NC
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Zip | 27262-7254
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Country | US
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Telephone | 336-802-2536
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Fax | 336-802-2534
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | GRACE E TERRELL
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Credential |
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Telephone | 336-802-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Legacy Identifiers
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Identifier #1
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Identifier Code | B0216
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | MEDCOST
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Identifier #2
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Identifier Code | D266
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | PARTNERS
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Identifier #3
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Identifier Code | 7765735
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | AETNA
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Identifier #4
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Identifier Code | CD6614
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | RR MEDICARE
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Identifier #5
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Identifier Code | CC4243
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | RR MEDICARE
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Identifier #6
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Identifier Code | CD8658
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | RR MEDICARE
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Identifier #7
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Identifier Code | 89016FX
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Identifier Type | MEDICAID
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Identifier State | NC
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Identifier Issuer |
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Identifier #8
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Identifier Code | CC4241
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | RR MEDICARE
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Identifier #9
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Identifier Code | 016FX
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | BCBS
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 016FX
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | BCBS
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Identifier #2
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Identifier Code | 7765735
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | AETNA
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Identifier #3
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Identifier Code | 89016FX
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Identifier Type | MEDICAID
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Identifier State | NC
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Identifier Issuer |
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Identifier #4
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Identifier Code | B0216
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | MEDCOST
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Identifier #5
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Identifier Code | CC4241
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | RR MEDICARE
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Identifier #6
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Identifier Code | CC4243
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | RR MEDICARE
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Identifier #7
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Identifier Code | CD6614
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | RR MEDICARE
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Identifier #8
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Identifier Code | CD8658
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | RR MEDICARE
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Identifier #9
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Identifier Code | D266
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Identifier Type | OTHER
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Identifier State | NC
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Identifier Issuer | PARTNERS
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