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General NPI Number Information
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NPI Number | 1093592321
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Entity Type | Individual
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Provider Name | YELINA FERNANDEZ PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 800 SE 4TH AVE STE 816B
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-6498
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Country | US
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Telephone | 305-587-7737
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Fax | 305-517-5377
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Provider Business Mailing Address
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Address Line | 800 SE 4TH AVE STE 816B
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-6498
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Country | US
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Telephone | 305-587-7737
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Fax | 305-517-5377
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY12001
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY12001
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License Number State | FL
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