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NPI 1699616870

NPI 1699616870 : MIGUEL ANGEL HERNANDEZ LMT : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1699616870
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    Entity Type          |    Individual 
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    Provider Name        |    MIGUEL ANGEL HERNANDEZ LMT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/02/2026
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    Last Update Date     |    04/02/2026
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Provider Practice Location Address
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    Address Line         |    7101 W HIGHWAY 71 STE A-1 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78735-8307
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    Country              |    US
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    Telephone            |    512-529-0027
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    216 S KOWALD LN APT 3304 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-7585
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    Country              |    US
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    Telephone            |    915-760-9994
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MT131041
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    License Number State |    TX
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