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General NPI Number Information
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NPI Number | 1861084485
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Entity Type | Individual
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Provider Name | YENI FERNANDEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 348 ALHAMBRA CIR
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City | CORAL GABLES
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State | FL
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Zip | 33134-5004
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Country | US
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Telephone | 307-447-9199
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Fax |
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Provider Business Mailing Address
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Address Line | 6937 W 31ST AVE
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City | HIALEAH
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State | FL
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Zip | 33018-5284
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN25118
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License Number State | FL
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