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General NPI Number Information
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NPI Number | 1568320562
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Entity Type | Organization
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Legal Business Name | DOWNS AND FETNER, PLLC
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 4411 ROOSEVELT BLVD STE 594
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City | JACKSONVILLE
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State | FL
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Zip | 32210-3350
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Country | US
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Telephone | 904-423-1377
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Fax |
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Provider Business Mailing Address
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Address Line | 1470 AVONDALE AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32205-7823
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. JACQUELINE FETNER
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Credential | DMD
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Telephone | 941-726-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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