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General NPI Number Information
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NPI Number | 1013703883
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Entity Type | Individual
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Provider Name | TOSHA ADRIAN CORNISH RN
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Gender | Female
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 35 K ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4216
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Country | US
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Telephone | 202-375-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 W BASELINE RD STE 101
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City | MESA
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State | AZ
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Zip | 85202-9098
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Country | US
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Telephone | 480-831-7566
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN500016136
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License Number State | DC
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