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General NPI Number Information
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NPI Number | 1104808799
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Entity Type | Individual
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Provider Name | MARIA DEL CARMEN HERNANDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | CALLE IGNACIO MORALES ACOSTA 72
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City | NARANJITO
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State | PR
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Zip | 00719-0372
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Country | US
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Telephone | 787-869-0540
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Fax | 787-869-0540
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Provider Business Mailing Address
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Address Line | PO BOX 372 CALLE IGNACIO MORALES ACOSTA 72
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City | NARANJITO
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State | PR
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Zip | 00719-0372
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Country | US
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Telephone | 787-869-0540
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Fax | 787-869-0540
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 8352
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BH0612108
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DM076216
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License Number State | PR
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