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General NPI Number Information
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NPI Number | 1942358015
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Entity Type | Individual
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Provider Name | RAFAEL F FERNANDEZ NBC- HIS
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7100 WEST 12 ST SUITE 701
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City | HIALEAH
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State | FL
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Zip | 33016
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Country | US
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Telephone | 305-557-4016
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Fax | 305-480-0985
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Provider Business Mailing Address
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Address Line | 2191 SW 122 AVE. COURT
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-226-0661
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Fax | 305-480-0985
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS # 3095
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License Number State | FL
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