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General NPI Number Information
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NPI Number | 1962767400
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Entity Type | Organization
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Legal Business Name | CORNERSTONE FAMILY HEALTH, LLC
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 343 E CENTER ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-2135
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Country | US
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Telephone | 270-825-0111
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Fax | 270-825-0112
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Provider Business Mailing Address
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Address Line | PO BOX 1357
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City | MADISONVILLE
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State | KY
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Zip | 42431
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Country | US
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Telephone | 270-825-0111
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Fax | 270-825-0112
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Authorized Official
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Title or Position | OWNER, NURSE PRACTITIONER
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Name | MRS. MICHELLE N QUISENBERRY
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Credential | APRN, NP-C
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Telephone | 270-825-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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