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General NPI Number Information
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NPI Number | 1972830651
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Entity Type | Individual
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Provider Name | MARICELA HERNANDEZ APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 505 ANGELITA DR STE 14
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City | WESLACO
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State | TX
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Zip | 78599-8694
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Country | US
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Telephone | 956-362-3720
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Fax | 956-362-3737
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | PHARR
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State | TX
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Zip | 78577-1614
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Country | US
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Telephone | 956-362-3720
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Fax | 956-362-3737
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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 | AP118372
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License Number State | TX
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