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General NPI Number Information
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NPI Number | 1023272168
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Entity Type | Individual
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Provider Name | NELLA CRISTINA FERNANDEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 2055 NORMANDIE DR
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City | MONTGOMERY
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State | AL
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Zip | 36111-2732
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Country | US
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Telephone | 334-263-6228
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Fax | 334-265-9136
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Provider Business Mailing Address
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Address Line | 225B WINTON M BLOUNT LOOP
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City | MONTGOMERY
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State | AL
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Zip | 36117-3507
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Country | US
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Telephone | 334-263-6228
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Fax | 334-263-6228
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME125838
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | MD.41696
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License Number State | AL
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