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General NPI Number Information
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NPI Number | 1639506926
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Entity Type | Organization
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Legal Business Name | LOURDES HERNANDEZ PSYD ASSOCIATES PA
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 8360 W FLAGLER ST STE 202
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City | MIAMI
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State | FL
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Zip | 33144-2042
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Country | US
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Telephone | 305-775-0916
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Fax |
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Provider Business Mailing Address
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Address Line | 8360 W FLAGLER ST STE 202
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City | MIAMI
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State | FL
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Zip | 33144-2042
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Country | US
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Telephone | 305-775-0916
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LOURDES HERNANDEZ
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Credential | PSY.D.
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Telephone | 305-775-0916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PY8826
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #13
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #14
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | PY8826
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License Number State | FL
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Taxonomy #15
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY8826
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License Number State | FL
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