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General NPI Number Information
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NPI Number | 1831305879
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Entity Type | Individual
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Provider Name | NANCY SAID HERNANDEZ DO
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 100 E VALENCIA MESA DR STE 100
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City | FULLERTON
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State | CA
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Zip | 92835-3816
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Country | US
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Telephone | 714-992-5581
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Fax |
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Provider Business Mailing Address
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Address Line | 12665 GARDEN GROVE BLVD STE 211
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1916
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Country | US
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Telephone | 714-636-2890
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 20A9829
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License Number State | CA
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