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General NPI Number Information
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NPI Number | 1710567045
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Entity Type | Individual
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Provider Name | HEIRA HERNANDEZ MEDINA LPC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | COMUNIDAD PUNTA DIAMANTE CALLE NAIRA V-28
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City | PONCE
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State | PR
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Zip | 00728
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Country | US
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Telephone | 820-400-0915
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Fax |
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Provider Business Mailing Address
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Address Line | L9 CALLE LOS ALMENDROS
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City | MERCEDITA
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State | PR
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Zip | 00715-2035
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 79724
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH25430
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 23824
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License Number State | AZ
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