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General NPI Number Information
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NPI Number | 1427804558
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Entity Type | Individual
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Provider Name | YAIMY FERNANDEZ HERRERA
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Gender | Female
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 1160 KANE CONCOURSE STE 203
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-2020
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Country | US
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Telephone | 305-560-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 290 W 53RD ST
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City | HIALEAH
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State | FL
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Zip | 33012-3754
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Country | US
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Telephone | 786-262-9382
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH31828
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License Number State | FL
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