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General NPI Number Information
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NPI Number | 1053331918
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Entity Type | Individual
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Provider Name | LONNIE HERMANN MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 700 MEDICAL PKWY
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City | BRENHAM
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State | TX
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Zip | 77833-5413
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Country | US
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Telephone | 979-836-6173
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27797
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City | HOUSTON
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State | TX
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Zip | 77227-7797
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Country | US
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Telephone | 713-470-6006
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Fax |
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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 | F4072
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License Number State | TX
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