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General NPI Number Information
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NPI Number | 1467133942
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Entity Type | Individual
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Provider Name | DANIEL FRANK FERNANDEZ ATC
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Gender | Male
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 17307 SE 272ND ST STE 142
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City | COVINGTON
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State | WA
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Zip | 98042-5330
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Country | US
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Telephone | 253-243-7528
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Fax |
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Provider Business Mailing Address
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Address Line | 3919 97TH AVE E
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City | EDGEWOOD
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State | WA
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Zip | 98371-2616
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Country | US
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Telephone | 206-402-9993
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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