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General NPI Number Information
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NPI Number | 1821527763
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Entity Type | Individual
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Provider Name | CORNELIUS ISRAEL STRAIT CRNP
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Gender | Male
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 214 PEACH ORCHARD RD
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City | MC CONNELLSBURG
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State | PA
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Zip | 17233-8559
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Country | US
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Telephone | 717-485-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 14993 GLADE TER
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City | GREENCASTLE
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State | PA
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Zip | 17225-8496
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Country | US
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Telephone | 301-991-5138
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP017511
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License Number State | PA
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