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NPI 1255606679

NPI 1255606679 : SCARLET YALILE HERRARTE FORNOS M.D. : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1255606679
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    Entity Type          |    Individual 
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    Provider Name        |    SCARLET YALILE HERRARTE FORNOS M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/19/2012
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    Last Update Date     |    04/23/2025
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Provider Practice Location Address
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    Address Line         |    2600 N STEMMONS FWY STE 141B 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75207-2113
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    Country              |    US
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    Telephone            |    469-828-5959
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6255 W SUNSET BLVD FL 21 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90028-7422
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    Country              |    US
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    Telephone            |    323-860-5200
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    Fax                  |    323-467-7119
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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       |    A142897
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    A142897
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    R3339
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    License Number State |    TX
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