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General NPI Number Information
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NPI Number | 1881807386
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Entity Type | Organization
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Legal Business Name | FERNANDO HERNANDEZ MD PA
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 305 ALHAMBRA CIR
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City | CORAL GABLES
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State | FL
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Zip | 33134-5003
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Country | US
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Telephone | 305-445-3999
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Fax | 305-722-3648
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Provider Business Mailing Address
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Address Line | 305 ALHAMBRA CIR
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City | CORAL GABLES
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State | FL
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Zip | 33134-5003
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Country | US
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Telephone | 305-445-3999
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Fax | 305-722-3648
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FERNANDO HERNANDEZ
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Credential | M. D.
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Telephone | 305-445-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME42729
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License Number State | FL
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