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General NPI Number Information
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NPI Number | 1285693267
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Entity Type | Individual
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Provider Name | NORBERTO J HERNANDEZ DDS
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Gender | Male
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1470 NW 107TH AVE SUITE G
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City | DORAL
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State | FL
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Zip | 33172-2744
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Country | US
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Telephone | 305-594-8666
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Fax | 305-594-0088
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Provider Business Mailing Address
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Address Line | 1470 NW 107TH AVE SUITE G
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City | DORAL
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State | FL
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Zip | 33172-2744
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Country | US
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Telephone | 305-594-8666
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Fax | 305-594-0088
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 14451
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License Number State | FL
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