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General NPI Number Information
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NPI Number | 1902926074
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Entity Type | Individual
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Provider Name | ERLYN PAPA HERNANDEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 825 OAK GROVE AVE STE A 102
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City | MENLO PARK
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State | CA
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Zip | 94025
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Country | US
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Telephone | 650-322-5381
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Fax | 650-329-7946
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Provider Business Mailing Address
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Address Line | 19999 STEVENS CREEK BLVD UNIT 307
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City | CUPERTINO
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State | CA
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Zip | 95014
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Country | US
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Telephone | 408-873-1447
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 53682
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License Number State | CA
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