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General NPI Number Information
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NPI Number | 1003273194
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Entity Type | Organization
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Legal Business Name | DANIEL G HERBOWY
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 4340 MIDDLE SETTLEMENT RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-5316
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Country | US
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Telephone | 315-738-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 208 BITTERN CT
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City | NEW HARTFORD
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State | NY
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Zip | 13413-3516
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Country | US
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Telephone | 315-525-7087
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Fax | 315-793-3149
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL HERBOWY
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Credential | DPM
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Telephone | 315-525-7087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | N002813
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N002813
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License Number State | NY
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