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General NPI Number Information
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NPI Number | 1437347366
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Entity Type | Organization
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Legal Business Name | PETER E CORNELL, DPM PC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 1311 E FRANKLIN ST
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City | HILLSBORO
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State | TX
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Zip | 76645-2621
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Country | US
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Telephone | 254-582-7433
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Fax | 254-582-7626
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Provider Business Mailing Address
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Address Line | 1311 E FRANKLIN ST
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City | HILLSBORO
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State | TX
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Zip | 76645-2621
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Country | US
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Telephone | 254-582-7433
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Fax | 254-582-7626
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER ELSWORTH CORNELL
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Credential | DPM
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Telephone | 254-582-7433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0755
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License Number State | TX
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