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General NPI Number Information
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NPI Number | 1447938501
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Entity Type | Organization
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Legal Business Name | VALENTIN HERNANDEZ, MD. INC.
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 13440 HAWTHORNE BLVD
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City | HAWTHORNE
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State | CA
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Zip | 90250-5806
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Country | US
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Telephone | 310-219-0941
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Fax | 310-219-1482
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Provider Business Mailing Address
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Address Line | 13440 HAWTHORNE BLVD
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City | HAWTHORNE
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State | CA
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Zip | 90250-5806
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Country | US
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Telephone | 310-219-0941
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Fax | 310-219-1482
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VALENTIN HERNANDEZ
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Credential | MD
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Telephone | 310-256-8355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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