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General NPI Number Information
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NPI Number | 1770772535
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Entity Type | Organization
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Legal Business Name | CORNERSTONE COUNSELING, P.C.
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 3280 WOODRIDGE BLVD STE 200
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City | GRAND ISLAND
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State | NE
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Zip | 68801-7481
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Country | US
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Telephone | 308-382-1764
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Fax | 308-395-3730
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Provider Business Mailing Address
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Address Line | 3280 WOODRIDGE BLVD STE 200
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City | GRAND ISLAND
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State | NE
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Zip | 68801-7481
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Country | US
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Telephone | 308-382-1764
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Fax | 308-395-3730
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | LISA A PATTISON
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Credential | PHD
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Telephone | 308-382-1764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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