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Individual
DR. EDUARDO TAVORA FERNANDES
Active
Individual
DR. EDUARDO TAVORA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36795
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147459
—
MT
05
—
0596908
—
IA
01
—
1016618
PREFERRED ONE
MN
01
—
122707
UCARE
MN
01
—
19-00018
MEDICA PRIMARY
MN
01
—
19-00526
MEDICA CHOICE
MN
01
—
383R1FE
BCBS
MN
01
—
777876
ARAZ
MN
01
—
HP26223
HEALTHPARTNERS
MN
Enumeration date
07/01/2006
Last updated
07/09/2007
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