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General NPI Number Information
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NPI Number | 1982779740
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Entity Type | Individual
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Provider Name | LYDIA HERNANDEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 4030 SMITH RD STE 300
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City | CINCINNATI
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State | OH
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Zip | 45209-1974
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Country | US
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Telephone | 513-751-2273
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Fax | 513-751-1848
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Provider Business Mailing Address
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Address Line | 2060 READING RD SUITE 150
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City | CINCINNATI
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State | OH
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Zip | 45202-1454
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Country | US
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Telephone | 513-721-3200
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Fax | 513-639-3186
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.061077
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License Number State | OH
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