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General NPI Number Information
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NPI Number | 1447396841
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Entity Type | Organization
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Legal Business Name | FERNANDEZ ORTHOPEDICS PA
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 1797 CORAL WAY
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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 | 1797 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33145-2728
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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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Authorized Official
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Title or Position | PRESIDENT FERNANDEZ ORTHOPEDICS PA
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Name | DR. RAFAEL J FERNANDEZ JR.
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Credential | MD
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Telephone | 305-856-3592
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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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