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General NPI Number Information
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NPI Number | 1437149531
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Entity Type | Individual
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Provider Name | RAFAEL J FERNANDEZ JR. MD FAAOS FACS
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Gender | Male
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1797 CORAL WAY SW 22ND ST
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City | MIAMI
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State | FL
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Zip | 33145
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Country | US
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Telephone | 305-856-3592
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Fax | 305-854-5887
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Provider Business Mailing Address
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Address Line | 2916 S DOUGLAS RD STE 1
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City | CORAL GABLES
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State | FL
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Zip | 33134-6928
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Country | US
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Telephone | 786-837-8888
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Fax | 305-854-5887
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME72583
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License Number State | FL
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