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General NPI Number Information
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NPI Number | 1801252895
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Entity Type | Individual
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Provider Name | JULIO CESAR HERNANDEZ ROMAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 2525 SW 75TH AVE FL 12
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City | MIAMI
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State | FL
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Zip | 33155-2800
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Country | US
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Telephone | 305-262-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 2251 SW 27TH ST APT 2
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City | MIAMI
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State | FL
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Zip | 33133-2332
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Country | US
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Telephone | 786-231-8183
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2016002
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9113605
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License Number State | FL
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