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General NPI Number Information
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NPI Number | 1407231822
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Entity Type | Individual
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Provider Name | YOSMARY HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 14311 SW 88TH ST APT A205
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City | MIAMI
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State | FL
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Zip | 33186-8076
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Country | US
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Telephone | 786-486-8091
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Fax |
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Provider Business Mailing Address
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Address Line | 14311 SW 88TH ST APT A205
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City | MIAMI
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State | FL
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Zip | 33186-8076
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Country | US
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Telephone | 786-486-8091
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | CNA-180718
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | CNA-180718
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License Number State | FL
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