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General NPI Number Information
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NPI Number | 1679800148
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Entity Type | Individual
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Provider Name | MARGARITA HERNANDEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 14 MANNING AVE 4TH FLOOR
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City | LEOMINSTER
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State | MA
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Zip | 01453-5768
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Country | US
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Telephone | 978-847-0110
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Fax | 978-847-0112
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Provider Business Mailing Address
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Address Line | 14 MANNING AVE
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City | LEOMINSTER
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State | MA
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Zip | 01453
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Country | US
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Telephone | 978-847-0110
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Fax | 978-878-8152
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DL13024
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License Number State | MA
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