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General NPI Number Information
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NPI Number | 1134240542
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Entity Type | Individual
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Provider Name | NORMA MARIE HERNANDEZ RN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13594 MOUNTAIN TOP DR
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240-6538
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Country | US
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Telephone | 760-288-0258
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Fax | 760-288-3738
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Provider Business Mailing Address
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Address Line | 13594 MOUNTAIN TOP DR
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240-6538
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Country | US
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Telephone | 760-288-0258
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Fax | 760-288-3738
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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 | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 487024
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License Number State | CA
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