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NPI 1912320441

NPI 1912320441 : FLOR ESTHER HERNANDEZ DDS, MSD : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1912320441
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    Entity Type          |    Individual 
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    Provider Name        |    FLOR ESTHER HERNANDEZ DDS, MSD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/04/2014
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    Last Update Date     |    02/04/2014
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Provider Practice Location Address
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    Address Line         |    848 BRICKELL AVE SUITE 920
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33131-2949
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    Country              |    US
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    Telephone            |    305-372-8212
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6744 MAGNOLIA COURT 
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    City                 |    SOUTH MIAMI
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    State                |    FL
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    Zip                  |    33143
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    Country              |    US
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    Telephone            |    248-376-3676
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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        |    1223P0700X
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    Taxonomy Name        |    Prosthodontics
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    License Number       |    DN 20380
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    License Number State |    FL
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