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General NPI Number Information
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NPI Number | 1679538797
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Entity Type | Individual
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Provider Name | HERNAN M CARRION M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 1321 NW 14TH ST SUITE 600
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City | MIAMI
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State | FL
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Zip | 33125-1673
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Country | US
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Telephone | 305-547-2534
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Fax | 305-326-7210
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Provider Business Mailing Address
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Address Line | 9165 PARK DR
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City | MIAMI SHORES
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State | FL
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Zip | 33138-3163
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Country | US
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Telephone | 305-545-6685
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Fax | 786-515-0254
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME20544
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License Number State | FL
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