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Individual
SCOTT EDWARD CORDELL
Active
Individual
SCOTT EDWARD CORDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002010A
IN
363A00000X
Physician Assistant
Primary
50.002627RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110947
—
OH
05
—
OPR
—
IN
01
—
PENDING
ANTHEM BCBS
IN
Enumeration date
08/12/2008
Last updated
02/25/2025
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