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General NPI Number Information
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NPI Number | 1174167902
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Entity Type | Individual
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Provider Name | MELISSA HERNANDEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 11430 N KENDALL DR # 305B
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City | MIAMI
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State | FL
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Zip | 33176-1032
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Country | US
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Telephone | 305-799-4576
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Fax |
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Provider Business Mailing Address
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Address Line | 1553 SAN IGNACIO AVE
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City | CORAL GABLES
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State | FL
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Zip | 33146-3090
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Country | US
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Telephone | 305-799-4576
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11004637
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License Number State | FL
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