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General NPI Number Information
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NPI Number | 1740232255
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Entity Type | Individual
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Provider Name | REINALDO HERNANDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 4175 W 20TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-5874
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Country | US
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Telephone | 305-825-0300
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Fax | 305-424-3180
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Provider Business Mailing Address
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Address Line | PO BOX 832348
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City | MIAMI
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State | FL
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Zip | 33283-2348
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Country | US
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Telephone | 305-825-0300
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Fax | 305-448-3290
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME77183
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License Number State | FL
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