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General NPI Number Information
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NPI Number | 1114499746
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Entity Type | Organization
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Legal Business Name | DANIEL G HERBOWY
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 4340 MIDDLE SETTLEMENT RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-5316
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Country | US
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Telephone | 315-738-7772
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 340
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City | NEW HARTFORD
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State | NY
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Zip | 13413-0340
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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 | OWNER
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Name | DANIEL G HERBOWY
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Credential | DPM
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Telephone | 315-738-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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