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General NPI Number Information
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NPI Number | 1346213949
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Entity Type | Individual
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Provider Name | HERNAN G FUENTES FIGUEROA MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 18669 TAMIAMI TR
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City | NORTH PORT
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State | FL
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Zip | 34287-7388
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Country | US
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Telephone | 941-423-5035
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Fax | 941-423-5034
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Provider Business Mailing Address
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Address Line | 2850 SW 114TH TER APT 512
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-7762
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 14096
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N8187
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME133886
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License Number State | FL
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