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General NPI Number Information
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NPI Number | 1124734397
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Entity Type | Organization
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Legal Business Name | HERNANDEZ CHIROPRACTIC & WELLNESS INC.
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 4401 ATLANTIC AVE STE 480
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City | LONG BEACH
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State | CA
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Zip | 90807-2265
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Country | US
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Telephone | 562-508-1557
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Fax |
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Provider Business Mailing Address
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Address Line | 5536 LIME AVE APT A
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City | LONG BEACH
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State | CA
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Zip | 90805-5581
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Country | US
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Telephone | 562-508-1557
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MIREYA HERNANDEZ
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Credential | DC
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Telephone | 562-508-1557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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