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General NPI Number Information
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NPI Number | 1134009368
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Entity Type | Individual
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Provider Name | PAOLA N HERNANDEZ FELIZ
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 12720 MCMANUS BLVD STE 103
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4441
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Country | US
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Telephone | 757-369-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 MARQUIS PKWY APT 2115
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5471
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Country | US
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Telephone | 254-952-0446
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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 | 0024195348
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License Number State | VA
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