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General NPI Number Information
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NPI Number | 1104092584
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Entity Type | Individual
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Provider Name | NATALIA HERRERA
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Gender | Female
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 5300 W HILLSBORO BLVD STE 208
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4397
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Country | US
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Telephone | 305-305-6367
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Fax | 561-423-3105
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Provider Business Mailing Address
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Address Line | 5300 W HILLSBORO BLVD STE 208
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4397
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Country | US
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Telephone | 305-305-6367
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Fax | 561-423-3105
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH 10390
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11415726
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License Number State | FL
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