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General NPI Number Information
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NPI Number | 1972139129
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Entity Type | Individual
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Provider Name | ANTHONY ISSAIHS HERNANDEZ-CEJA
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Gender | Male
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 115 MADRONE AVE
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City | MORGAN HILL
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State | CA
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Zip | 95037-9227
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Country | US
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Telephone | 669-746-9928
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Fax |
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Provider Business Mailing Address
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Address Line | 115 MADRONE AVE
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City | MORGAN HILL
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State | CA
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Zip | 95037-9227
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Country | US
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Telephone | 669-746-9928
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | Y8286153
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License Number State | CA
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