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General NPI Number Information
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NPI Number | 1609586478
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Entity Type | Individual
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Provider Name | YARENIS HERNANDEZ PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 525 TECHNOLOGY PARK STE 115
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City | LAKE MARY
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State | FL
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Zip | 32746-7107
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Country | US
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Telephone | 407-647-2346
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Fax |
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Provider Business Mailing Address
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Address Line | 12306 JUNIPER FIELD CT
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City | RIVERVIEW
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State | FL
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Zip | 33579-9325
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Country | US
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Telephone | 813-369-3963
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2022057683
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License Number State | FL
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