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General NPI Number Information
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NPI Number | 1407219264
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Entity Type | Organization
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Legal Business Name | EPOCRATES MEDICAL AND RESEARCH CENTER MD, P.A.
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 14271 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-6408
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Country | US
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Telephone | 305-207-5350
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Fax | 305-207-5351
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Provider Business Mailing Address
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Address Line | 14271 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-6408
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Country | US
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Telephone | 305-207-5350
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Fax | 305-207-5351
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Authorized Official
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Title or Position | PRESIDENT/ MEDICAL DIRECTOR
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Name | DR. FERNANDO AUGUSTO FERNANDEZ
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Credential | M.D.
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Telephone | 305-207-5350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME106569
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License Number State | FL
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