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General NPI Number Information
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NPI Number | 1457297897
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Entity Type | Organization
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Legal Business Name | HERZA BEHAVIORAL & MEDICAL SERVICE, LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 16633 SW 47TH ST
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City | MIAMI
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State | FL
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Zip | 33185-5277
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Country | US
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Telephone | 305-926-2581
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Fax |
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Provider Business Mailing Address
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Address Line | 16633 SW 47TH ST
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City | MIAMI
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State | FL
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Zip | 33185-5277
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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 | NURSE PRACTITIONER
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Name | ABEY HERNANDEZ MARIN
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Credential | APRN, PMHNP-BC, FNP-
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Telephone | 305-926-2581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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