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General NPI Number Information
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NPI Number | 1598570509
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Entity Type | Individual
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Provider Name | SILINA HERNANDEZ PTA
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Gender | Female
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Dates
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Enumeration Date | 02/08/2025
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 6684 RANDOLPH BLVD
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City | LIVE OAK
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State | TX
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Zip | 78233-4220
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Country | US
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Telephone | 210-781-5287
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Fax |
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Provider Business Mailing Address
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Address Line | 4938 DRIFTER OAKS
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City | SAINT HEDWIG
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State | TX
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Zip | 78152-0109
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Country | US
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Telephone | 361-237-5442
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2152047
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License Number State | TX
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