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General NPI Number Information
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NPI Number | 1104353739
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Entity Type | Organization
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Legal Business Name | HERNANDEZ-FIRMIN HEALTHCARE
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Dates
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Enumeration Date | 05/14/2017
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2412 ORIOLE ST
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City | SLIDELL
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State | LA
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Zip | 70460-3332
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Country | US
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Telephone | 985-570-3012
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Fax | 866-468-0818
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Provider Business Mailing Address
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Address Line | 2412 ORIOLE ST
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City | SLIDELL
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State | LA
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Zip | 70460-3332
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Country | US
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Telephone | 985-570-3012
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. FERNANDO LUIS HERNANDEZ
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Credential | MSN, APRN, FNP-BC
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Telephone | 985-570-3012
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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 | AP08485
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License Number State | LA
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