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General NPI Number Information
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NPI Number | 1962857052
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Entity Type | Organization
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Legal Business Name | CORNERSTONE FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 1748 W KATELLA AVE STE 207
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City | ORANGE
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State | CA
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Zip | 92867-3430
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Country | US
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Telephone | 714-744-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 1748 W KATELLA AVE STE 207
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City | ORANGE
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State | CA
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Zip | 92867-3430
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Country | US
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Telephone | 714-744-3800
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHRISTOPHER L GAMBLE
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Credential |
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Telephone | 714-744-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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