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General NPI Number Information
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NPI Number | 1619975117
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Entity Type | Individual
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Provider Name | JARROD CRAIG CORNEHL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 2151 S ALTERNATE A1A STE 600
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City | JUPITER
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State | FL
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Zip | 33477-4064
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Country | US
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Telephone | 415-746-0746
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 GREGORY RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6738
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Country | US
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Telephone | 415-746-0746
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 52365
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20982
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN28948
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License Number State | FL
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