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General NPI Number Information
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NPI Number | 1386809119
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Entity Type | Organization
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Legal Business Name | SILAVANO A. HERNANDEZ-HERRERA, M.D., P.A.
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 35 PONCE DE LEON BLVD
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City | MIAMI
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State | FL
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Zip | 33135-1040
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Country | US
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Telephone | 305-445-5554
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Fax | 305-641-0102
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Provider Business Mailing Address
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Address Line | 35 PONCE DE LEON BLVD
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City | MIAMI
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State | FL
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Zip | 33135-1040
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Country | US
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Telephone | 305-445-5554
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Fax | 305-641-0102
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SILVANO ALBERTO HERNANDEZ-HERRERA
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Credential | M.D.
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Telephone | 305-445-5554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME20718
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License Number State | FL
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