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General NPI Number Information
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NPI Number | 1184705998
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Entity Type | Individual
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Provider Name | EDUARDO F HERNANDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CALLE JUAN R GARZOT #35
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City | NAGUABO
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State | PR
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Zip | 00718
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Country | US
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Telephone | 787-379-0368
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9131
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City | HUMACAO
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State | PR
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Zip | 00792
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Country | US
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Telephone | 787-874-2740
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 6063
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License Number State | PR
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