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NPI Code Detail

MEDICARE: FRANCES HERNANDEZ

MEDICARE:   FRANCES  HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-20-121132FL

General Provider Information

NPI Number : 1073111001
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES HERNANDEZ
Provider Business Mailing Address
First Line : 17940 NW 78TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33015-2811
Country : US
Telephone Number : 786-317-4060
Fax Number :
Provider Business Practice Location Address
First Line : 17940 NW 78TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33015-2811
Country : US
Telephone Number : 786-317-4060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2020
Last Update Date : 10/12/2020

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Directions to “ FRANCES HERNANDEZ ” Practice Location

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