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General NPI Number Information
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NPI Number | 1639261605
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Entity Type | Individual
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Provider Name | KAY M HERNANDEZ DO
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | OPTIC HERNANDEZ #13 AVE
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City | BUENO VISTA MOROVIS
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State | PR
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Zip | 00687
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Country | US
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Telephone | 787-862-7448
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Fax | 787-862-7448
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Provider Business Mailing Address
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Address Line | CALLE 11 P-19 VRB DOS RIOS
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-632-6668
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Fax | 787-862-7448
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 443
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License Number State | PR
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