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General NPI Number Information
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NPI Number | 1700729381
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Entity Type | Individual
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Provider Name | STEPHEN CORNWELL R.PH.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 97604 FRANKLIN RDG
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8357
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Country | US
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Telephone | 928-797-1066
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Fax |
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Provider Business Mailing Address
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Address Line | 97604 FRANKLIN RDG
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8357
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Country | US
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Telephone | 928-797-1066
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | RP0005103
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License Number State | WV
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