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General NPI Number Information
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NPI Number | 1245997956
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Entity Type | Individual
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Provider Name | BETHANY RENFRO HERRERA MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 2110 FORT WORTH HWY
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City | WEATHERFORD
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State | TX
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Zip | 76086-4833
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Country | US
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Telephone | 817-697-7982
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Fax | 817-286-4255
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Provider Business Mailing Address
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Address Line | 1561 SIDEWINDER TRL
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City | WEATHERFORD
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State | TX
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Zip | 76087-1311
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Country | US
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Telephone | 817-228-0507
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1058462
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License Number State | TX
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