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General NPI Number Information
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NPI Number | 1326275512
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Entity Type | Organization
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Legal Business Name | TRIPLE H HEALTHCARE, P.C.
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 1305 S STATE HIGHWAY 121 SUITE C-108
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City | LEWISVILLE
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State | TX
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Zip | 75067-5915
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Country | US
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Telephone | 469-549-1002
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Fax | 469-549-1017
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Provider Business Mailing Address
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Address Line | 3805 CROWN CT
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City | BEDFORD
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State | TX
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Zip | 76021-6158
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Country | US
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Telephone | 469-549-1002
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Fax |
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Authorized Official
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Title or Position | OFFICE PA
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Name | MR. FERNAN J HERNANDEZ
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Credential | PA-C
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Telephone | 469-549-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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