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General NPI Number Information
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NPI Number | 1053312181
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Entity Type | Individual
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Provider Name | HAL C HERRING JR. OD, PA
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 204 IONA ST
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City | FAIRMONT
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State | NC
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Zip | 28340-1616
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Country | US
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Telephone | 910-628-8316
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Fax | 910-628-5642
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Provider Business Mailing Address
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Address Line | PO BOX 648
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City | FAIRMONT
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State | NC
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Zip | 28340-0648
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Country | US
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Telephone | 910-628-8316
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Fax | 910-628-5642
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 891
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License Number State | NC
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