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General NPI Number Information
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NPI Number | 1982463345
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Entity Type | Individual
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Provider Name | JESSICA SEQUEIROS-HERNANDEZ LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 10631 N KENDALL DR STE 155
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City | MIAMI
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State | FL
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Zip | 33176-1559
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Country | US
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Telephone | 786-735-2003
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Fax |
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Provider Business Mailing Address
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Address Line | 10631 N KENDALL DR STE 155
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City | MIAMI
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State | FL
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Zip | 33176-1559
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Country | US
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Telephone | 786-735-2003
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH23297
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License Number State | FL
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