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General NPI Number Information
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NPI Number | 1003048422
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Entity Type | Individual
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Provider Name | NORYS T FERNANDEZ LCSW, MSW, SAP,NBCCH
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Gender | Female
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 7550 SW 57TH AVE STE 112
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5331
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Country | US
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Telephone | 305-669-3835
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Fax | 305-669-3875
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Provider Business Mailing Address
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Address Line | 9055 SW 73RD CT APT 1003
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City | MIAMI
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State | FL
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Zip | 33156-2952
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Country | US
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Telephone | 305-669-3835
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 9371
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License Number State | FL
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