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Individual
MR. OSCAR HERNANDEZ- MIRANDA
Active
Individual
MR. OSCAR HERNANDEZ- MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
88857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
IN SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
09/07/2011
Last updated
09/26/2019
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