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General NPI Number Information
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NPI Number | 1619917119
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Entity Type | Organization
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Legal Business Name | ROBERT J CORNELL MD PA
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1330 E 6TH ST SUITE 205
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City | WESLACO
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State | TX
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Zip | 78596-4204
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Country | US
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Telephone | 956-968-9596
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Fax | 956-969-2513
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Provider Business Mailing Address
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Address Line | 1330 E 6TH ST SUITE 205
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City | WESLACO
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State | TX
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Zip | 78596-4204
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Country | US
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Telephone | 956-968-9596
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Fax | 956-969-2513
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ROBERT J CORNELL
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Credential | MD
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Telephone | 956-968-9596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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