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General NPI Number Information
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NPI Number | 1508554064
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Entity Type | Individual
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Provider Name | VALERIE MARIE FERNANDEZ DDS
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Gender | Female
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 499 WILLIAM FLOYD PKWY
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City | SHIRLEY
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State | NY
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Zip | 11967-3416
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Country | US
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Telephone | 631-281-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 7983 NW 161ST TER
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City | MIAMI LAKES
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State | FL
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Zip | 33016-6657
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Country | US
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Telephone | 305-764-6549
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30159
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 06432201
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License Number State | NY
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