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General NPI Number Information
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NPI Number | 1346318052
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Entity Type | Individual
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Provider Name | CAROLINE HERNANDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 11212 STATE HIGHWAY 151 MEDICAL PLAZA I, STE 190
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4498
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Country | US
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Telephone | 210-523-9933
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Fax | 210-647-0242
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Provider Business Mailing Address
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Address Line | PO BOX 760488
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City | SAN ANTONIO
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State | TX
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Zip | 78245-0488
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Country | US
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Telephone | 210-523-9933
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Fax | 210-647-0242
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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 | L7752
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | L7752
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License Number State | TX
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