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General NPI Number Information
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NPI Number | 1558710111
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Entity Type | Individual
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Provider Name | FELIX EDWARD HERNANDEZ III D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2016
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1348 PASEO VERDE PKWY STE 100
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City | HENDERSON
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State | NV
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Zip | 89012-5723
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Country | US
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Telephone | 702-847-6252
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Fax | 702-847-6254
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Provider Business Mailing Address
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Address Line | 650 S GREEN VALLEY PKWY STE 120
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City | HENDERSON
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State | NV
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Zip | 89052-0425
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Country | US
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Telephone | 702-847-6252
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Fax | 702-847-6254
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DO2995
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 125.069827
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License Number State | IL
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