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General NPI Number Information
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NPI Number | 1932112620
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PULMONARY AND CRITICAL CARE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1424 BADDOUR PARKWAY H
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City | LEBANON
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State | TN
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Zip | 37087
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Country | US
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Telephone | 615-444-8686
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Fax | 615-444-7793
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Provider Business Mailing Address
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Address Line | PO BOX 748
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City | LEBANON
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State | TN
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Zip | 37088-0748
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Country | US
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Telephone | 615-444-8686
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Fax | 615-444-7793
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. MODUPE KEHINDE
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Credential | M.D.
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Telephone | 615-444-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 40614
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 40614
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License Number State | TN
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