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General NPI Number Information
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NPI Number | 1710439724
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Entity Type | Individual
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Provider Name | GLORIA HERNANDEZ PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | C9 AVE LUIS MUNOZ MARIN URB CAGUAX
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City | CAGUAS
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State | PR
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Zip | 00725-3330
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Country | US
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Telephone | 787-326-2259
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Fax | 939-204-9060
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Provider Business Mailing Address
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Address Line | 138 CALLE BRITTON URB MONTE ALTO
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City | GURABO
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State | PR
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Zip | 00778-4080
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Country | US
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Telephone | 787-326-2259
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Fax | 939-204-9060
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 001509
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License Number State | PR
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