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General NPI Number Information
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NPI Number | 1235877143
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Entity Type | Organization
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Legal Business Name | FERNANDEZ PACHECO MD
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 12002 SW 128TH CT STE 204
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City | MIAMI
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State | FL
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Zip | 33186-4643
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Country | US
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Telephone | 786-458-5403
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Fax | 559-242-9429
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Provider Business Mailing Address
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Address Line | PO BOX 668391
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City | DORAL
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State | FL
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Zip | 33166-9415
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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 | MEMBER
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Name | FRANCISCO FERNANDEZ PACHECO
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Credential | MD
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Telephone | 786-458-5403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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