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General NPI Number Information
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NPI Number | 1689149213
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Entity Type | Individual
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Provider Name | JOSE ALEJANDRO HERNANDEZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 10/10/2018
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Provider Practice Location Address
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Address Line | 1110 SUNLAND PARK DR
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City | EL PASO
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State | TX
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Zip | 79922-1379
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Country | US
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Telephone | 915-352-2815
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Fax |
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Provider Business Mailing Address
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Address Line | 9532 RUTLEDGE PL
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City | EL PASO
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State | TX
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Zip | 79924-6212
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Country | US
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Telephone | 915-790-3962
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 62889
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License Number State | TX
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