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General NPI Number Information
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NPI Number | 1407373038
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Entity Type | Organization
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Legal Business Name | AIDA HERNANDEZ LPC LLC
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 08/24/2017
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Provider Practice Location Address
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Address Line | 220 MONMOUTH RD STE 7
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City | OAKHURST
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State | NJ
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Zip | 07755-1561
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Country | US
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Telephone | 732-962-6892
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Fax |
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Provider Business Mailing Address
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Address Line | 220 MONMOUTH RD STE 7
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City | OAKHURST
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State | NJ
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Zip | 07755-1561
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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 | OWNER
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Name | MS. AIDA HERNANDEZ
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Credential | MA
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Telephone | 201-563-0634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37PC00545100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00545100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00545100
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License Number State | NJ
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