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General NPI Number Information
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NPI Number | 1811984230
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Entity Type | Individual
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Provider Name | EDMUND W CORNMAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 1800 GLENSIDE DR SUITE 103
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City | RICHMOND
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State | VA
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Zip | 23226-3769
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Country | US
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Telephone | 804-285-0100
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Fax | 804-285-2458
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Provider Business Mailing Address
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Address Line | PO BOX 8266
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City | RICHMOND
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State | VA
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Zip | 23226-0266
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Country | US
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Telephone | 804-285-0100
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Fax | 804-285-2458
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101233151
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 0101233151
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License Number State | VA
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