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General NPI Number Information
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NPI Number | 1538130935
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Entity Type | Individual
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Provider Name | ANA FERNANDEZ O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | PLAZA VILLA BLANCA #K-2 CARR. #1
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-743-0534
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Fax | 787-743-0534
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Provider Business Mailing Address
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Address Line | J6 AVE SAN PATRICIO APT.18-E
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City | GUAYNABO
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State | PR
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Zip | 00968-4406
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Country | US
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Telephone | 787-487-7611
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 274
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License Number State | PR
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