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General NPI Number Information
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NPI Number | 1245434182
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Entity Type | Organization
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Legal Business Name | BENIGNO J. FERNANDEZ, M.D.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 17720 CORPORATE WOODS DR
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City | SAN ANTONIO
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State | TX
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Zip | 78259-3500
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Country | US
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Telephone | 210-495-3627
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Fax | 210-491-3581
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Provider Business Mailing Address
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Address Line | PO BOX 90415
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City | SAN ANTONIO
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State | TX
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Zip | 78209-9084
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Country | US
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Telephone | 210-495-3627
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Fax | 210-491-3581
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. BENIGNO J. FERNANDEZ
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Credential | M.D.
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Telephone | 210-495-3627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | J0758
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License Number State | TX
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