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General NPI Number Information
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NPI Number | 1316703291
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Entity Type | Individual
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Provider Name | MARIA ROCIO HERNANDEZ PSYD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 5 E 16TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-3112
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Country | US
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Telephone | 646-653-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 4331 45TH ST APT 6G
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City | SUNNYSIDE
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State | NY
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Zip | 11104-2344
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Country | US
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Telephone | 787-354-8883
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 026164
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License Number State | NY
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