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General NPI Number Information
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NPI Number | 1891511408
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Entity Type | Individual
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Provider Name | ROBERT LLOYD HERNANDEZ LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 16035 CONTINENTAL BLVD
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23834-5900
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Country | US
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Telephone | 804-731-5494
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Fax | 804-479-8219
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Provider Business Mailing Address
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Address Line | 7864 PATRIOTS LANDING PL
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City | QUINTON
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State | VA
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Zip | 23141-1645
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Country | US
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Telephone | 804-731-5494
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904017707
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License Number State | VA
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