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General NPI Number Information
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NPI Number | 1184928830
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Entity Type | Organization
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Legal Business Name | HERNANDEZ HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 1814 JAKE STREET
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City | ORLANDO
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State | FL
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Zip | 32814-6642
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Country | US
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Telephone | 407-641-0743
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Fax | 407-409-8358
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Provider Business Mailing Address
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Address Line | 1814 JAKE STREET
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City | ORLANDO
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State | FL
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Zip | 32814-6642
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Country | US
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Telephone | 407-641-0743
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Fax | 407-409-8358
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ISAAC ARI HERNANDEZ
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Credential | DC
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Telephone | 352-514-0767
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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 | CH 9868
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License Number State | FL
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