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General NPI Number Information
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NPI Number | 1780578021
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Entity Type | Individual
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Provider Name | KEREN ABIGAIL HERNANDEZ VEGA
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 1504 BEN TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-873-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 4622 CAMPECHE DR
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City | HOUSTON
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State | TX
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Zip | 77045-3532
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Country | US
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Telephone | 832-288-7807
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Fax | 832-288-7807
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19371
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License Number State | TX
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