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General NPI Number Information
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NPI Number | 1710702188
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Entity Type | Individual
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Provider Name | ALEXEY HERNANDEZ PEREZ
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Gender | Male
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 55 WESTON RD STE 101B
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City | WESTON
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State | FL
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Zip | 33326-1112
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Country | US
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Telephone | 954-659-1208
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Fax |
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Provider Business Mailing Address
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Address Line | 16531 BLATT BLVD APT 105
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City | WESTON
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State | FL
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Zip | 33326-1828
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Country | US
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Telephone | 239-922-3935
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9671708
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License Number State | FL
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