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General NPI Number Information
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NPI Number | 1477682227
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Entity Type | Organization
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Legal Business Name | ANTHONY C HERNANDEZ M D INC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 1824 DILLINGHAM BLVD
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City | HONOLULU
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State | HI
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Zip | 96819-4019
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Country | US
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Telephone | 808-848-1515
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Fax | 808-848-1515
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Provider Business Mailing Address
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Address Line | 1824 DILLINGHAM BLVD
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City | HONOLULU
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State | HI
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Zip | 96819-4019
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Country | US
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Telephone | 808-848-1515
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Fax | 808-848-1515
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY CADIENTE HERNANDEZ
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Credential | M.D.
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Telephone | 808-848-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5996
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License Number State | HI
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