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General NPI Number Information
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NPI Number | 1386182129
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Entity Type | Individual
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Provider Name | CARIN HERNANDEZ RN
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Gender | Female
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | PO BOX 165
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City | HANNACROIX
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State | NY
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Zip | 12087-0165
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Country | US
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Telephone | 559-269-2468
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 165
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City | HANNACROIX
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State | NY
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Zip | 12087-0165
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Country | US
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Telephone | 559-269-2468
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 415790
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License Number State | NY
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