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General NPI Number Information
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NPI Number | 1518514173
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Entity Type | Individual
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Provider Name | CAROLINA HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3636 N 1ST ST STE 142
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City | FRESNO
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State | CA
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Zip | 93726-6818
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Country | US
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Telephone | 559-514-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 1077 N WILLOW AVE STE 105 #980
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City | CLOVIS
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State | CA
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Zip | 93611-4415
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Country | US
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Telephone | 559-312-5228
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 34167
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License Number State | CA
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