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General NPI Number Information
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NPI Number | 1922183409
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Entity Type | Individual
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Provider Name | JUAN HERNANDEZ L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 310 E VAN BUREN AVE SUITE 123
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City | HARLINGEN
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State | TX
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Zip | 78550-6815
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Country | US
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Telephone | 956-412-7500
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Fax | 956-412-7509
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | HARLINGEN
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State | TX
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Zip | 78551-0249
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Country | US
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Telephone | 956-412-7500
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Fax | 956-412-7509
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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 | 11723
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License Number State | TX
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