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General NPI Number Information
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NPI Number | 1134235088
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Entity Type | Individual
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Provider Name | FERNANDO LUIS QUIRINDONGO-SOLANO DPM
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 508 MEETING ST
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-7535
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Country | US
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Telephone | 727-796-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 7243 CHASE RD
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City | DEARBORN
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State | MI
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Zip | 48126-1301
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Country | US
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Telephone | 313-582-6222
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Fax | 313-582-0166
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901002226
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License Number State | MI
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