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General NPI Number Information
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NPI Number | 1942095286
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Entity Type | Individual
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Provider Name | ANTHONY HERNANDEZ LMHC
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Gender | Male
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1020 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4411
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Country | US
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Telephone | 786-243-1003
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Fax |
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Provider Business Mailing Address
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Address Line | 15544 W COLONIAL DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-9556
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Country | US
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Telephone | 800-457-4573
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Fax | 800-443-6422
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH25506
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License Number State | FL
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