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General NPI Number Information
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NPI Number | 1922394485
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Entity Type | Individual
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Provider Name | SANDER FERNANDEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 11981 SW 144TH CT STE 201
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City | MIAMI
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State | FL
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Zip | 33186-8653
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Country | US
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Telephone | 786-640-0609
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Fax | 786-640-0615
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Provider Business Mailing Address
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Address Line | 7481 BIRD RD
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City | MIAMI
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State | FL
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Zip | 33155-6635
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Country | US
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Telephone | 786-615-4228
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Fax | 786-615-4213
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201401596
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME128120
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME128120
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License Number State | FL
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