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General NPI Number Information
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NPI Number | 1891068300
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Entity Type | Organization
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Legal Business Name | FERNANDO N DIAZ, MD. PA
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 3990 SHERIDAN ST STE 206
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3656
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Country | US
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Telephone | 954-987-8183
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Fax | 954-894-9937
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Provider Business Mailing Address
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Address Line | 3990 SHERIDAN STREET. SUITE 206
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3656
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Country | US
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Telephone | 954-987-8183
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Fax | 954-894-9937
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FERNANDO N DIAZ
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Credential | M.D.
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Telephone | 954-987-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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