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General NPI Number Information
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NPI Number | 1770785909
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Entity Type | Individual
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Provider Name | DOELYS HERNANDEZ LND
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 359 CALLE SAN CLAUDIO S SUITE 205 CUPEY PROFESSIONAL MALL
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City | SAN JUAN
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State | PR
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Zip | 00926-9907
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Country | US
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Telephone | 787-308-1100
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 5373
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City | GUAYNABO
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State | PR
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Zip | 00971-9516
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Country | US
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Telephone | 787-758-2000
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 1352
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License Number State | PR
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