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General NPI Number Information
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NPI Number | 1801067012
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Entity Type | Organization
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Legal Business Name | CORNERSTONE COUNSELING & CONSULTING, P.C,
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 10315 DAWSONS CREEK BLVD SUITE F
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City | FORT WAYNE
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State | IN
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Zip | 46825-1912
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Country | US
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Telephone | 260-387-6340
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Fax |
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Provider Business Mailing Address
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Address Line | 10315 DAWSONS CREEK BLVD SUITE F
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City | FORT WAYNE
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State | IN
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Zip | 46825-1912
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Country | US
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Telephone | 260-387-6340
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT PAUL HECK
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Credential | PH.D.
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Telephone | 260-387-6340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 5386
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 20041203A
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License Number State | IN
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