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General NPI Number Information
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NPI Number | 1891646675
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Entity Type | Individual
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Provider Name | VICTOR HERNANDEZ LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2741 INDIAN SCHOOL RD NE # 212
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2653
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Country | US
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Telephone | 505-225-1068
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Fax |
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Provider Business Mailing Address
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Address Line | 7851 LATIR MESA RD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-1690
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Country | US
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Telephone | 505-850-8274
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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 | SWB-2024-0711
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License Number State | NM
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