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General NPI Number Information
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NPI Number | 1871513457
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Entity Type | Individual
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Provider Name | JESUS FRANCISCO FERNANDEZ M.D., A.B.U.C.M.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 13777 AIR EXPRESSWAY BLVD
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City | VICTORVILLE
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State | CA
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Zip | 92394-0510
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Country | US
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Telephone | 760-246-2552
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Fax | 760-246-2542
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Provider Business Mailing Address
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Address Line | 30056 MILANO RD
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City | TEMECULA
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State | CA
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Zip | 92591-1636
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Country | US
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Telephone | 951-316-3416
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Fax | 951-699-2148
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 10651
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | AA2965
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License Number State | AK
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