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General NPI Number Information
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NPI Number | 1366841900
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Entity Type | Individual
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Provider Name | NATALIE HERNANDEZ SLP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 12001 SW 128TH CT STE 101
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City | MIAMI
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State | FL
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Zip | 33186-4665
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Country | US
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Telephone | 786-732-6983
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Fax | 786-732-6993
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Provider Business Mailing Address
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Address Line | 9615 SW 24TH ST APT A323
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City | MIAMI
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State | FL
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Zip | 33165-8088
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ6772
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License Number State | FL
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