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General NPI Number Information
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NPI Number | 1174044986
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Entity Type | Individual
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Provider Name | FERNANDO FERRAL
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Gender | Male
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 6862 SW 157TH CT
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City | MIAMI
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State | FL
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Zip | 33193-3659
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Country | US
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Telephone | 305-409-2953
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Fax |
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Provider Business Mailing Address
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Address Line | 8040 NW 95TH ST STE 223-224
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City | MIAMI LAKES
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State | FL
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Zip | 33016-2362
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Country | US
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Telephone |
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN9423509
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License Number State | FL
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