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General NPI Number Information
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NPI Number | 1477922292
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Entity Type | Individual
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Provider Name | CUAUHTEMOC M HERNANDEZ A.B.O.C.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 807 N LA CADENA DR
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City | COLTON
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State | CA
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Zip | 92324-2747
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Country | US
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Telephone | 909-856-1728
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Fax |
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Provider Business Mailing Address
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Address Line | 1172 W 45TH ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-4971
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Country | US
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Telephone | 909-856-1728
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | SL6678
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License Number State | CA
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