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General NPI Number Information
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NPI Number | 1154423556
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Entity Type | Organization
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Legal Business Name | PALMETTO INTERNAL MEDICINE PA
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 1701 DEVONSHIRE DR SUITE #101
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City | COLUMBIA
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State | SC
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Zip | 29204
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Country | US
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Telephone | 803-254-2800
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Fax | 803-254-2890
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Provider Business Mailing Address
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Address Line | 1701 DEVONSHIRE DR SUITE #101
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City | COLUMBIA
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State | SC
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Zip | 29204
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Country | US
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Telephone | 803-254-2800
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Fax | 803-254-2890
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Authorized Official
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Title or Position | MD
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Name | DR. JAMES RICHARD HERMAN
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Credential | MD
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Telephone | 803-254-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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