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General NPI Number Information
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NPI Number | 1649579681
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Entity Type | Organization
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Legal Business Name | YOEL A HERNANDEZ MD PA
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 1951 SW 172ND AVE STE 200
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City | MIRAMAR
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State | FL
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Zip | 33029-5613
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Country | US
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Telephone | 954-256-8181
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Fax | 954-256-8155
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Provider Business Mailing Address
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Address Line | 13079 NW 23RD ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2549
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Country | US
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Telephone | 561-451-6464
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Fax | 954-256-8155
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOEL A HERNANDEZ RODRIGUEZ
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Credential | MD
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Telephone | 561-451-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | ME106099
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | ME 106099
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME106099
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License Number State | FL
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