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General NPI Number Information
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NPI Number | 1922311299
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Entity Type | Organization
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Legal Business Name | ABILIO A. HERNANDEZ, M.D.,INC.
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 4082 WHITTIER BLVD STE. 104
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City | LOS ANGELES
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State | CA
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Zip | 90023-2558
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Country | US
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Telephone | 323-266-0496
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Fax | 323-266-4185
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Provider Business Mailing Address
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Address Line | 4082 WHITTIER BLVD STE. 104
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City | LOS ANGELES
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State | CA
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Zip | 90023-2558
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Country | US
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Telephone | 323-266-0496
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Fax | 323-266-4185
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABILIO A. HERNANDEZ
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Credential | M.D.
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Telephone | 323-266-0496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A26463
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License Number State | CA
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