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General NPI Number Information
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NPI Number | 1326644105
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Entity Type | Individual
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Provider Name | ZORIELU HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 2701 N GRAPEVINE MILLS BLVD APT 2024
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City | GRAPEVINE
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State | TX
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Zip | 76051-2071
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Country | US
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Telephone | 787-223-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 LAKESIDE PKWY STE 150-14
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4120
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Country | US
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Telephone | 787-223-1700
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 4397
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 62597
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License Number State | TX
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