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Individual
BRIAN WILLIAM CORNELL
Active
Individual
BRIAN WILLIAM CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00195
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700178
UNITED HEALTHCARE
RI
01
—
71215
BLUE CROSS BLUE SHIELD
RI
05
—
9007121
—
RI
Enumeration date
11/06/2006
Last updated
07/08/2007
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