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General NPI Number Information
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NPI Number | 1346532389
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Entity Type | Individual
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Provider Name | DR. ISMARY E HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 132 CALLE UMBRAL URBANIZACION VILLA TOLEDO
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-817-4747
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Fax | 787-817-4646
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Provider Business Mailing Address
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Address Line | HC 4 BOX 18461
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City | CAMUY
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State | PR
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Zip | 00627-9515
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Country | US
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Telephone | 787-309-8928
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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 | 5437
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License Number State | PR
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