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General NPI Number Information
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NPI Number | 1336770387
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Entity Type | Individual
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Provider Name | MONICA MORONES HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 8200 PERRIN BEITEL RD STE 112
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1547
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Country | US
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Telephone | 726-208-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 502 E RAMSEY RD
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4639
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Country | US
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Telephone | 210-490-3900
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Fax | 210-419-0391
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 20017219479
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 4905
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License Number State | TX
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