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General NPI Number Information
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NPI Number | 1972043230
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PRIMARY CARE & CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 14843 N NORTHSIGHT BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2629
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Country | US
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Telephone | 480-315-8322
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Fax | 480-410-6903
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Provider Business Mailing Address
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Address Line | 7227 E BASELINE RD STE 106
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City | MESA
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State | AZ
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Zip | 85209-5005
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Country | US
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Telephone | 480-832-5777
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Fax | 480-584-4046
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Authorized Official
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Title or Position | CHIROPRACTIC
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Name | DR. CLAY WARREN
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Credential | D.C.
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Telephone | 480-365-9509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7723
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7618
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License Number State | AZ
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