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General NPI Number Information
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NPI Number | 1770860017
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Entity Type | Individual
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Provider Name | ELIZABETH HERNANDEZ PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 8600 NW 17TH ST STE 100
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City | DORAL
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State | FL
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Zip | 33126-1038
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Country | US
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Telephone | 305-455-1250
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Fax | 305-455-1255
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Provider Business Mailing Address
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Address Line | 8600 NW 17TH ST STE 100
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City | DORAL
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State | FL
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Zip | 33126-1038
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Country | US
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Telephone | 305-455-1250
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Fax | 305-455-1255
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS40420
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License Number State | FL
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