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General NPI Number Information
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NPI Number | 1497086581
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Entity Type | Individual
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Provider Name | MONICA HEDRICK LCSW, BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 2400 W 64TH ST
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City | RICHFIELD
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State | MN
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Zip | 55423-1001
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Country | US
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Telephone | 612-767-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 1802 N ALAFAYA TRL SUITE 158
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City | ORLANDO
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State | FL
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Zip | 32826-4716
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Country | US
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Telephone | 407-697-6147
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Fax | 888-661-4505
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 9055
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-04-1761
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0012225
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 33944
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License Number State | MN
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