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General NPI Number Information
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NPI Number | 1659301034
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Entity Type | Individual
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Provider Name | WRIGHT F HERNANDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 7945 S SUNCOAST BLVD STE B
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City | HOMOSASSA
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State | FL
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Zip | 34446-5005
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Country | US
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Telephone | 352-382-6111
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Fax | 352-382-6112
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Provider Business Mailing Address
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Address Line | 10 ZINNIAS CT
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City | HOMOSASSA
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State | FL
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Zip | 34446-5628
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Country | US
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Telephone | 352-503-7468
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Fax | 352-503-7468
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ACN367
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License Number State | FL
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