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NPI 1144987256

NPI 1144987256 : STEVEN J. HERRON M.D. : TEMPLETON, CA

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General NPI Number Information
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    NPI Number           |    1144987256
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEVEN J. HERRON M.D. 
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Dates
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    Enumeration Date     |    11/23/2021
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    Last Update Date     |    01/10/2023
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Provider Practice Location Address
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    Address Line         |    1111 LAS TABLAS RD STE N 
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    City                 |    TEMPLETON
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    State                |    CA
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    Zip                  |    93465-9732
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    Country              |    US
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    Telephone            |    805-434-1825
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    Fax                  |    805-434-2761
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Provider Business Mailing Address
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    Address Line         |    1111 LAS TABLAS RD STE N 
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    City                 |    TEMPLETON
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    State                |    CA
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    Zip                  |    93465-9732
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    Country              |    US
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    Telephone            |    805-434-1825
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    Fax                  |    805-434-2761
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Authorized Official
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    Title or Position    |    OFFICE MGN
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    Name                 |     LAURIE  BARTON 
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    Credential           |    
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    Telephone            |    805-434-1825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    
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    License Number State |    
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