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General NPI Number Information
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NPI Number | 1881567709
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Entity Type | Individual
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Provider Name | GENESIS J HERNANDEZ APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1005 W SAN ANTONIO ST
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City | LOCKHART
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State | TX
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Zip | 78644-2421
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Country | US
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Telephone | 512-244-4272
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Fax | 512-244-2895
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Provider Business Mailing Address
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Address Line | 101 W LOUIS HENNA BLVD STE 300
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City | AUSTIN
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State | TX
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Zip | 78728-1203
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Country | US
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Telephone | 512-244-4272
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Fax | 512-244-2895
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1214078
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 1214078
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License Number State | TX
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