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General NPI Number Information
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NPI Number | 1982350757
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Entity Type | Individual
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Provider Name | TAYLOR KELSEY HERNANDEZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 9413 FLATLANDS AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-3726
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Country | US
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Telephone | 347-650-9154
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Fax |
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Provider Business Mailing Address
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Address Line | 22131 108TH AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-2438
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Country | US
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Telephone | 347-650-9154
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 115548-01
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License Number State | NY
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