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NPI 1023083599

NPI 1023083599 : RICHARD RAY HERBER M.D. : MOUNT AIRY, NC

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General NPI Number Information
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    NPI Number           |    1023083599
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD RAY HERBER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/20/2006
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    1016 S SOUTH ST 
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    City                 |    MOUNT AIRY
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    State                |    NC
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    Zip                  |    27030-5330
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    Country              |    US
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    Telephone            |    336-783-8900
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    Fax                  |    336-783-3417
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1267 
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    City                 |    MOUNT AIRY
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    State                |    NC
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    Zip                  |    27030-1267
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    Country              |    US
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    Telephone            |    336-719-7112
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    Fax                  |    336-786-3752
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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       |    35325
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    39614
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    License Number State |    NC
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