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General NPI Number Information
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NPI Number | 1568301091
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Entity Type | Individual
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Provider Name | AMANDA HERNANDEZ
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Gender |
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 664 STONELEIGH AVE SUITE 301 PSYCHIATRY GME
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City | CARMEL
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State | NY
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Zip | 10512-3940
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Country | US
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Telephone | 203-241-6495
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Fax |
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Provider Business Mailing Address
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Address Line | 2 COTTONTAIL LN
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City | CATSKILL
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State | NY
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Zip | 12414-1909
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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 |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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