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General NPI Number Information
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NPI Number | 1902518079
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Entity Type | Individual
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Provider Name | STEPHEN ANTHONY HERNANDEZ DDS
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Gender | Male
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 8001 S JACKSON RD STE 4
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City | PHARR
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State | TX
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Zip | 78577-0298
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Country | US
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Telephone | 956-625-4293
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 S JACKSON RD STE 4
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City | PHARR
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State | TX
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Zip | 78577-0298
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Country | US
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Telephone | 956-625-4293
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 38571
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License Number State | TX
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