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General NPI Number Information
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NPI Number | 1013399310
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Entity Type | Individual
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Provider Name | DAVID A CORNELL DNP, ARNP
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Gender | Male
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 1111 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21201-5505
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Country | US
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Telephone | 515-291-3283
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Fax |
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Provider Business Mailing Address
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Address Line | 13706 VANDERBILT WAY
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City | LAUREL
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State | MD
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Zip | 20707-9524
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A128989
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1034280
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R257465
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License Number State | MD
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