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General NPI Number Information
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NPI Number | 1972427144
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Entity Type | Individual
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Provider Name | SAMANTHA HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 2055 WOOD ST STE 200
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City | SARASOTA
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State | FL
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Zip | 34237-7929
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Country | US
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Telephone | 941-209-8105
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Fax |
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Provider Business Mailing Address
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Address Line | 23310 ALASKA AVE
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-1818
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Country | US
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Telephone | 941-447-0009
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP4687
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License Number State | FL
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