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General NPI Number Information
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NPI Number | 1558303701
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Entity Type | Individual
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Provider Name | ROBERT J HERNANDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 9240 SW 72ND ST SUITE 241
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City | MIAMI
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State | FL
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Zip | 33173-3261
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Country | US
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Telephone | 305-271-1919
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Fax | 305-271-1911
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Provider Business Mailing Address
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Address Line | 15421 SW 82ND AVE
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-2215
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Country | US
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Telephone | 786-348-5921
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Fax | 305-271-2412
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME93278
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License Number State | FL
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