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General NPI Number Information
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NPI Number | 1104417708
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Entity Type | Individual
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Provider Name | MICHELLE ANGEL HERNANDEZ ROMAN APRN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2707 CELANESE RD
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City | ROCK HILL
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State | SC
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Zip | 29732-9406
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Country | US
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Telephone | 803-366-4157
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Fax |
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Provider Business Mailing Address
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Address Line | 2707 CELANESE RD
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City | ROCK HILL
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State | SC
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Zip | 29732-9406
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Country | US
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Telephone | 803-366-4157
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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 | 003908
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24147
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10031433
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15415800
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 203110
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License Number State | ND
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0040460
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11531023
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License Number State | NH
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0013308
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License Number State | DE
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12.015197
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License Number State | CT
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11041505
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5384712022
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License Number State | KS
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 02354
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License Number State | NC
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 008048
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License Number State | MD
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4044850
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License Number State | KY
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Taxonomy #15
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 251452
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License Number State | ME
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