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General NPI Number Information
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NPI Number | 1730143918
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Entity Type | Individual
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Provider Name | LYDIA R FERNANDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HOSPITAL DE PSIQUIATRIA DR RAMON FERNANDEZ MARINA CALLE CASI BO MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00922-2100
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Country | US
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Telephone | 787-296-2409
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Fax | 787-296-2409
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Provider Business Mailing Address
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Address Line | C-64 DIAMANTE GOLDEN GATE CAPARRA
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-385-8088
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Fax | 787-296-2409
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 7023
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License Number State | PR
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