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General NPI Number Information
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NPI Number | 1639463086
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Entity Type | Individual
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Provider Name | DERYCK ROMEO FERNANDEZ DPM
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Gender | Male
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 8190 ROYAL PALM BLVD STE 203
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5706
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Country | US
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Telephone | 954-346-5077
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Fax |
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Provider Business Mailing Address
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Address Line | 8190 ROYAL PALM BLVD STE 203
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5706
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Country | US
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Telephone | 954-346-5077
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3674
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License Number State | FL
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