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General NPI Number Information
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NPI Number | 1790826683
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Entity Type | Individual
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Provider Name | MARIA CRISTINA FERNANDEZ D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 4830 S.W. 8 STREET
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-446-1067
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Fax | 305-446-0687
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Provider Business Mailing Address
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Address Line | 4830 S.W. 8 STREET
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-446-1067
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Fax | 305-446-0687
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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 | 11069
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License Number State | FL
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