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General NPI Number Information
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NPI Number | 1801418900
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Entity Type | Individual
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Provider Name | DEBORAH LYNN CORNELL HAS
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Gender | Female
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 1101 RINEHART RD
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City | SANFORD
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State | FL
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Zip | 32771-7390
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Country | US
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Telephone | 407-547-2152
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 DERBY DR
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City | DELTONA
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State | FL
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Zip | 32738-1724
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Country | US
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Telephone | 386-717-0551
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS3578
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License Number State | FL
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