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General NPI Number Information
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NPI Number | 1750798690
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Entity Type | Individual
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Provider Name | KRISTINA HERNANDEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 7321 BALMER ST BLDG 570
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City | HILL AFB
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State | UT
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Zip | 84056-5012
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Country | US
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Telephone | 435-429-5285
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Fax |
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Provider Business Mailing Address
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Address Line | 7321 BALMER ST BLDG 570
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City | HILL AFB
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State | UT
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Zip | 84056-5012
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Country | US
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Telephone | 435-429-5285
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14204474-3501
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LMSW-15235
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-21587
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License Number State | AZ
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