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General NPI Number Information
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NPI Number | 1194281360
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Entity Type | Individual
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Provider Name | LILETH HERNANDEZ ENCARNACION
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Gender | Female
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 410 W 10TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43210-1240
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Country | US
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Telephone | 614-685-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 MCNAMARA DR
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City | DELAWARE
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State | OH
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Zip | 43015-7604
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Country | US
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Telephone |
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN294215
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License Number State | OH
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