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General NPI Number Information
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NPI Number | 1366203119
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Entity Type | Individual
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Provider Name | CLAUDIA IVET HERNANDEZ CNA
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Gender | Female
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 1355 EASTVIEW DR
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City | GRAFTON
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State | ND
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Zip | 58237-1948
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Country | US
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Telephone | 701-352-8070
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 506
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City | GRAFTON
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State | ND
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Zip | 58237-0506
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Country | US
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Telephone | 701-352-8070
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 45096
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License Number State | ND
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