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General NPI Number Information
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NPI Number | 1538611512
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Entity Type | Individual
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Provider Name | ALEXANDRA HERNANDEZ MSW
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 17 CALLE 2 SUITE 520
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-248-1302
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Fax |
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Provider Business Mailing Address
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Address Line | 48 CALLE MADAGASCAR URB. PALMA ROYALE
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City | LAS PIEDRAS
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State | PR
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Zip | 00771-3456
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Country | US
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Telephone | 787-218-8980
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 05-20-5665
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 11194
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License Number State | PR
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