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General NPI Number Information
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NPI Number | 1750315172
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Entity Type | Individual
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Provider Name | PATRICIA ANNE CORNETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4150 CLEMENT ST BOX 111H1
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-1545
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Country | US
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Telephone | 415-221-4810
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Fax | 415-750-6656
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Provider Business Mailing Address
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Address Line | 11 ETON WAY
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City | MILL VALLEY
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State | CA
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Zip | 94941-1414
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Country | US
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Telephone | 415-388-3433
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G46659
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License Number State | CA
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