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General NPI Number Information
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NPI Number | 1679920276
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Entity Type | Organization
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Legal Business Name | HERNANDEZ MENTAL HEALTH, INC
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2828 CORAL WAY STE 110
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City | CORAL GABLES
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State | FL
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Zip | 33145-3214
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Country | US
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Telephone | 786-238-7298
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Fax | 786-953-7115
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Provider Business Mailing Address
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Address Line | 2828 CORAL WAY STE 110
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City | CORAL GABLES
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State | FL
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Zip | 33145-3214
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Country | US
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Telephone | 786-238-7298
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Fax | 786-953-7115
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Authorized Official
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Title or Position | OWNER
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Name | MR. EDGAR ANTONIO HERNANDEZ
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Credential | LMHC
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Telephone | 786-238-7298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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