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General NPI Number Information
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NPI Number | 1366717449
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Entity Type | Individual
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Provider Name | MARIA SALVADORA HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 605 HUGHES AVE
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City | FAIRBANKS
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State | AK
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Zip | 99701-7539
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Country | US
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Telephone | 907-452-1648
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Fax | 907-459-4849
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Provider Business Mailing Address
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Address Line | 605 HUGHES AVE
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City | FAIRBANKS
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State | AK
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Zip | 99701-7539
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Country | US
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Telephone | 907-452-1648
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Fax | 907-456-4849
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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