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General NPI Number Information
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NPI Number | 1265870240
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Entity Type | Individual
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Provider Name | HECTOR A MEDINA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | DR HILTZBERGER STRASE WARD 3A - BUILDING 3759 - ROOM 131
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City | LANDSTUHL
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State | RHINELAND-PFALZ
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Zip | 66849
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Country | DE
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Telephone | 491-609-8787
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 402 BOX 971
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City | APO
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State | AE
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Zip | 09180-0010
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Country | US
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Telephone | 491-609-8787
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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 | 0101258080
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0101258080
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License Number State | VA
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