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General NPI Number Information
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NPI Number | 1316171333
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Entity Type | Individual
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Provider Name | MR. MIGUEL ANGEL HERNANDEZ
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Gender | Male
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | URB CONDADO MODERNO C18 M21
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City | CAGUAS
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State | PR
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Zip | 00726
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Country | UM
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Telephone | 787-961-6770
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Fax |
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Provider Business Mailing Address
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Address Line | CIUDAD JARDIN VILLAS DE GOLF 9
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City | GURABO
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State | PR
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Zip | 00778
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Country | UM
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Telephone | 939-717-4634
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 11-F-2721
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License Number State | PR
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