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Individual
RICK J HERNANDEZ
Active
Individual
RICK J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-01465
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913552
—
NC
Enumeration date
06/05/2007
Last updated
11/05/2014
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