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General NPI Number Information
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NPI Number | 1740304658
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Entity Type | Individual
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Provider Name | MARCEL JOSEPH HERNANDEZ N.D.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 47-4628 WAIPIO RD
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City | HONOKAA
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State | HI
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Zip | 96727-7101
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Country | US
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Telephone | 808-775-1505
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Fax |
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Provider Business Mailing Address
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Address Line | 47-4628 WAIPIO RD
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City | HONOKAA
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State | HI
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Zip | 96727-7101
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Country | US
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Telephone | 808-775-1505
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 94
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License Number State | HI
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