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General NPI Number Information
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NPI Number | 1730597998
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Entity Type | Individual
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Provider Name | IRVING HERNANDEZ
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Gender | Male
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1525 SE 5TH CT
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City | CAPE CORAL
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State | FL
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Zip | 33990-2019
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Country | US
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Telephone | 305-746-3229
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 CALLE 5 APTO 2 URB VILLA NEVAREZ
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-525-8774
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9363188
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License Number State | FL
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