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General NPI Number Information
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NPI Number | 1811534142
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Entity Type | Individual
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Provider Name | JEFFREY L CORN NP-C
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Gender | Male
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 1100 TUNNEL RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-2576
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Country | US
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Telephone | 828-298-7911
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Fax | 828-299-5913
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Provider Business Mailing Address
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Address Line | 1135 S TURKEY CREEK RD
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City | LEICESTER
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State | NC
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Zip | 28748-6384
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Country | US
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Telephone | 828-683-7030
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5012597
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License Number State | NC
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