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General NPI Number Information
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NPI Number | 1124893193
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Entity Type | Individual
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Provider Name | CHRISTINA ROSE HERNANDEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1207 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92543-4513
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Country | US
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Telephone | 928-542-8679
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Fax |
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Provider Business Mailing Address
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Address Line | 38660 CHERRYSTONE AVE
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City | CHERRY VALLEY
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State | CA
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Zip | 92223-3609
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Country | US
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Telephone | 928-542-8679
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 309659
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F11230586
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 888915
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95230978
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License Number State | CA
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