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General NPI Number Information
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NPI Number | 1790979094
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Entity Type | Organization
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Legal Business Name | NATIONAL CORNERSTONE HEALTHCARE SERVICES
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 24747 REDLANDS BLVD SUITE B
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City | LOMA LINDA
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State | CA
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Zip | 92354-4026
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Country | US
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Telephone | 877-616-6247
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Fax | 877-777-5717
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Provider Business Mailing Address
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Address Line | 24747 REDLANDS BLVD SUITE B
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City | LOMA LINDA
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State | CA
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Zip | 92354-4026
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Country | US
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Telephone | 877-616-6247
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Fax | 877-777-5717
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Authorized Official
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Title or Position | CEO
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Name | DAVID ESPINOSA
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Credential |
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Telephone | 877-616-6247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | WLS3859
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License Number State | CA
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