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General NPI Number Information
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NPI Number | 1780169672
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Entity Type | Organization
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Legal Business Name | CORNERSTONE THERAPY LLC
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 09/26/2018
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Provider Practice Location Address
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Address Line | 1220 GREELEY AVE
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City | SALINA
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State | KS
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Zip | 67401-3330
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Country | US
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Telephone | 785-531-9771
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Fax |
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Provider Business Mailing Address
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Address Line | 1628 CR 4150
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City | COFFEYVILLE
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State | KS
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Zip | 67337-9403
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Country | US
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Telephone | 785-342-2105
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | VICTORIA HOYT
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Credential |
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Telephone | 785-531-9771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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