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General NPI Number Information
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NPI Number | 1962040998
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Entity Type | Individual
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Provider Name | MARGARITA HERNANDEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 1221 FARMERS LN STE B
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City | SANTA ROSA
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State | CA
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Zip | 95405-6712
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Country | US
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Telephone | 707-578-7176
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Fax | 707-578-4220
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Provider Business Mailing Address
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Address Line | 1221 FARMERS LN
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City | SANTA ROSA
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State | CA
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Zip | 95405-6765
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Country | US
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Telephone | 707-578-7176
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Fax | 707-578-4220
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT294429
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License Number State | CA
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