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General NPI Number Information
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NPI Number | 1740253483
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Entity Type | Individual
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Provider Name | FERNANDO FERRER MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 100 SIMSBURY RD SUITE 208
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City | AVON
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State | CT
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Zip | 06001-3793
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Country | US
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Telephone | 860-409-0413
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Fax | 860-499-5418
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Provider Business Mailing Address
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Address Line | 247 ROUTE 100 SUITE 1002
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City | SOMERS
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State | NY
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Zip | 10589-3231
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Country | US
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Telephone | 914-962-8290
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Fax | 914-962-8851
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 035121
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | 035121
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | 286455
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 286455
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License Number State | NY
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