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General NPI Number Information
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NPI Number | 1073505723
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Entity Type | Individual
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Provider Name | DAVID LAWRENCE HERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 421 WEST COLUMBIA STREET
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City | COHOES
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State | NY
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Zip | 12047-2217
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Country | US
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Telephone | 518-238-4152
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14890
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City | ALBANY
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State | NY
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Zip | 12212-4890
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Country | US
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Telephone |
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 175782
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 175782-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 175782
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License Number State | NY
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