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General NPI Number Information
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NPI Number | 1730883810
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Entity Type | Individual
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Provider Name | LAURA MARIANA FERNANDEZ DDS
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Gender | Female
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 3715 S 1ST ST STE B
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City | AUSTIN
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State | TX
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Zip | 78704-8054
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Country | US
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Telephone | 512-296-2841
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Fax |
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Provider Business Mailing Address
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Address Line | 11233 WARCLOUD AVE
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City | EL PASO
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State | TX
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Zip | 79936-2307
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Country | US
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Telephone | 915-401-6710
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 41926
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License Number State | TX
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