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General NPI Number Information
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NPI Number | 1396935755
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Entity Type | Individual
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Provider Name | THERESA M HERNANDEZ APN/CNP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3595 RR 620 S SUITE 150
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City | BEECAVE
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State | TX
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Zip | 78738
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Country | US
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Telephone | 512-781-5615
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Fax | 833-643-1220
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Provider Business Mailing Address
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Address Line | 16100 OZARKS PATH BEECAVE
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City | BEECAVE
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State | TX
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Zip | 78738
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Country | US
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Telephone | 708-278-0095
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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 | 209006199
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License Number State | TX
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