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General NPI Number Information
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NPI Number | 1871726158
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Entity Type | Individual
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Provider Name | VERONICA HERNANDEZ LOPEZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 5802 SARATOGA BLVD SUITE 150
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-4252
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Country | US
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Telephone | 361-986-4600
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Fax | 361-985-0305
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Provider Business Mailing Address
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Address Line | 919 HIDDEN RDG
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City | IRVING
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State | TX
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Zip | 75038-3813
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Country | US
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Telephone | 469-282-2711
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Fax | 469-282-0996
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA0037
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License Number State | TX
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