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General NPI Number Information
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NPI Number | 1679304273
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Entity Type | Individual
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Provider Name | BRITTNEY AMANDA HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 08/13/2024
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 12966 EUCLID ST STE 280
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City | GARDEN GROVE
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State | CA
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Zip | 92840-9202
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Country | US
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Telephone | 714-823-4770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 578
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City | GARDEN GROVE
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State | CA
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Zip | 92842-0578
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Country | US
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Telephone | 808-489-3512
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 123754
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License Number State | CA
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