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General NPI Number Information
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NPI Number | 1083121255
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Entity Type | Individual
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Provider Name | DAVID MICHAEL HERNANDEZ DNP, CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 9333 SW 152ND ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1778
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Country | US
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Telephone | 305-251-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 8415 SW 107TH AVE APT 222W
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City | MIAMI
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State | FL
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Zip | 33173-4365
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Country | US
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Telephone | 786-512-6236
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9336027
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License Number State | FL
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