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General NPI Number Information
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NPI Number | 1396889846
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Entity Type | Individual
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Provider Name | VICTOR HERNANDEZ JR. LMFT
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Gender | Male
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Dates
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Enumeration Date | 02/17/2007
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 24520 HAWTHORNE BLVD
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City | TORRANCE
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State | CA
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Zip | 90505-6800
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Country | US
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Telephone | 714-719-8428
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Fax | 323-345-5483
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Provider Business Mailing Address
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Address Line | 15507 S NORMANDIE AVE # 143
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City | GARDENA
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State | CA
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Zip | 90247-4013
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Country | US
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Telephone | 714-719-8428
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Fax | 323-345-5483
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 51129
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License Number State | CA
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