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General NPI Number Information
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NPI Number | 1518030881
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Entity Type | Individual
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Provider Name | ORLANDO FERNANDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 1877 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33135-1939
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Country | US
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Telephone | 305-649-4894
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Fax | 305-541-3252
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Provider Business Mailing Address
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Address Line | 1773 SW 5TH ST STE 2
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City | MIAMI
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State | FL
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Zip | 33135-3509
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Country | US
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Telephone | 305-649-4894
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Fax | 305-541-3252
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28429
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License Number State | FL
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