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General NPI Number Information
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NPI Number | 1962232181
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Entity Type | Individual
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Provider Name | ERICA V HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 08/02/2024
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 12440 ROJAS DR
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City | EL PASO
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State | TX
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Zip | 79928-5261
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Country | US
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Telephone | 915-937-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 12972 KAITLYN REECE
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City | EL PASO
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State | TX
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Zip | 79938-4319
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Country | US
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Telephone | 915-471-2539
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 122704
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License Number State | TX
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