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General NPI Number Information
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NPI Number | 1093870180
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Entity Type | Organization
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Legal Business Name | TIMOTHY HERRON MD INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1200 PROSPECT STREET SUITE 303
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City | SANDUSKY
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State | OH
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Zip | 44870-3316
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Country | US
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Telephone | 419-626-6362
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 PROSPECT STREET SUITE 303
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City | SANDUSKY
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State | OH
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Zip | 44870-3316
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Country | US
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Telephone | 419-626-6362
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY HERRON
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Credential | MD
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Telephone | 419-626-6362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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