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General NPI Number Information
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NPI Number | 1386410579
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Entity Type | Individual
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Provider Name | ANA MARIA HERNANDEZ ROSA RDN,LD
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Gender | Female
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 9939 HIGHWAY 151
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City | SAN ANTONIO
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State | TX
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Zip | 78251-1900
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Country | US
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Telephone | 210-706-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 8415 FREDERICKSBURG RD APT 703
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3304
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Country | US
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Telephone | 787-372-5604
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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 | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number | 1054161
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License Number State | TX
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