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General NPI Number Information
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NPI Number | 1437398195
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Entity Type | Individual
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Provider Name | JUAN M HERNANDEZ FLORES PHD
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Gender | Male
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 03/25/2023
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Provider Practice Location Address
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Address Line | 848 ST. PLAZA 66 BLDG OFFICE 1
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-245-9177
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Fax |
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Provider Business Mailing Address
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Address Line | CIUDAD JARDIN CANOVANAS 40 CALLE DEL RIO
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City | CANOVANAS
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State | PR
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Zip | 00729-9820
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Country | US
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Telephone | 787-406-3893
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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 | 3238
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License Number State | PR
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