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NPI 1376039420

NPI 1376039420 : MARIEN FELIPE FERNANDEZ MD : OAKLAND PARK, FL

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General NPI Number Information
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    NPI Number           |    1376039420
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    Entity Type          |    Individual 
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    Provider Name        |    MARIEN FELIPE FERNANDEZ MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2018
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    Last Update Date     |    01/21/2025
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Provider Practice Location Address
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    Address Line         |    5333 N DIXIE HWY STE 207&209 
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    City                 |    OAKLAND PARK
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    State                |    FL
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    Zip                  |    33334-3414
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    Country              |    US
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    Telephone            |    954-229-1005
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    Fax                  |    954-938-2197
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Provider Business Mailing Address
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    Address Line         |    5333 N DIXIE HWY STE 207&209 
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    City                 |    OAKLAND PARK
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    State                |    FL
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    Zip                  |    33334-3414
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    Country              |    US
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    Telephone            |    954-229-1005
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    33696
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    License Number State |    PR
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Taxonomy #3
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    ME147352
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    License Number State |    FL
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