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General NPI Number Information
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NPI Number | 1093492209
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Entity Type | Individual
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Provider Name | JUAN CARLOS FERNANDEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1350 CONNECTICUT AVE NW STE 1250
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City | WASHINGTON
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State | DC
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Zip | 20036-1728
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 1 EMBARCADERO CTR STE 1900
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3723
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Country | US
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Telephone | 888-663-6331
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP500328477
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11028199
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License Number State | FL
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