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General NPI Number Information
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NPI Number | 1730433392
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Entity Type | Organization
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Legal Business Name | DR. ARMANDO FERNANDEZ D.D.S
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 425 MADISON AVE 403
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City | NEW YORK
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State | NY
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Zip | 10017-1110
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Country | US
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Telephone | 212-980-9088
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Fax |
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Provider Business Mailing Address
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Address Line | 425 MADISON AVE 403
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City | NEW YORK
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State | NY
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Zip | 10017-1110
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Country | US
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Telephone | 212-980-9088
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRISTINA M HERNANDEZ
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Credential |
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Telephone | 201-833-9294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | NY035976
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License Number State | NY
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