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General NPI Number Information
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NPI Number | 1659916351
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Entity Type | Individual
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Provider Name | ALBERTO LEYVA HERNANDEZ CBHCM-S
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Gender | Male
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 7955 NW 12TH ST STE 405
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City | DORAL
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State | FL
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Zip | 33126-1823
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Country | US
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Telephone | 786-286-5297
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Fax | 786-637-2974
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Provider Business Mailing Address
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Address Line | 2837 W 75TH ST
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City | HIALEAH
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State | FL
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Zip | 33018-5314
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Country | US
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Telephone | 305-833-1015
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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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 |
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License Number State |
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