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General NPI Number Information
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NPI Number | 1972483147
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Entity Type | Organization
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Legal Business Name | LOVE AND LIGHT PSYCHIATRY PLLC
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Dates
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Enumeration Date | 09/06/2025
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 10 LEXINGTON AVE
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City | CHARLESTOWN
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State | MA
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Zip | 02129-3102
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Country | US
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Telephone | 216-905-6356
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LEXINGTON AVE
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City | CHARLESTOWN
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State | MA
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Zip | 02129-3102
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Country | US
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Telephone | 216-905-6356
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. HOWARD R HERNANDEZ
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Credential | MD
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Telephone | 216-905-6356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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