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General NPI Number Information
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NPI Number | 1851948970
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Entity Type | Individual
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Provider Name | JULISSA JERRICKA HERNANDEZ PPS
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Gender | Female
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 41399 CHAPEL WAY
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City | FREMONT
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State | CA
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Zip | 94538-4298
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Country | US
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Telephone | 510-657-3537
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Fax |
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Provider Business Mailing Address
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Address Line | 28368 ROCHELLE AVE
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City | HAYWARD
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State | CA
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Zip | 94544-5450
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Country | US
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Telephone | 562-313-3470
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 230142313
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License Number State | CA
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