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General NPI Number Information
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NPI Number | 1295356756
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Entity Type | Individual
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Provider Name | ARGEDITH FERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 6509 CONROY RD APT 114
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City | ORLANDO
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State | FL
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Zip | 32835-3501
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Country | US
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Telephone | 407-714-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 6509 CONROY RD APT 114
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City | ORLANDO
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State | FL
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Zip | 32835-3501
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Country | US
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Telephone | 407-714-7759
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | E-1D10R7
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License Number State | FL
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