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General NPI Number Information
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NPI Number | 1003799768
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Entity Type | Individual
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Provider Name | ANNABEL VALDES HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 4000 HOLLYWOOD BLVD STE 548
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6751
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Country | US
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Telephone | 828-623-9379
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Fax |
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Provider Business Mailing Address
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Address Line | 4140 SW 24TH CT APT 3
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City | FORT LAUDERDALE
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State | FL
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Zip | 33317-6950
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Country | US
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Telephone | 954-465-7299
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-362932
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License Number State | FL
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