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General NPI Number Information
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NPI Number | 1386191658
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Entity Type | Individual
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Provider Name | JURGEN HELMUT FERNANDEZ D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2016
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 8201 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-2701
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Country | US
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Telephone | 954-452-6124
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PASEO SAN PABLO DR ARTURO CADILLA BLDG OFFICE 409
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-787-5690
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Fax | 787-798-2325
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 114
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License Number State | PR
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