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General NPI Number Information
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NPI Number | 1184534133
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Entity Type | Individual
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Provider Name | JAMIE PAULINE HERNANDEZ RBT
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 37104 CLINTON AVE
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City | DADE CITY
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State | FL
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Zip | 33525-5911
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Country | US
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Telephone | 352-437-3559
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Fax | 352-608-9017
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Provider Business Mailing Address
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Address Line | 10923 LIVINGSTON DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-6032
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Country | US
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Telephone | 813-312-6773
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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-26-2848504
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License Number State | FL
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