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General NPI Number Information
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NPI Number | 1184787822
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Entity Type | Organization
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Legal Business Name | OCHS & HERMAN INC.
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Dates
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Enumeration Date | 12/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5349 MITSCHER AVE
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City | LOUISVILLE
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State | KY
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Zip | 40214-2633
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Country | US
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Telephone | 502-368-6852
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Fax |
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Provider Business Mailing Address
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Address Line | 5349 MITSCHER AVE
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City | LOUISVILLE
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State | KY
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Zip | 40214-2633
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Country | US
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Telephone | 502-368-6852
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GARY DAVID HERMAN
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Credential | D.M.D.
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Telephone | 502-368-6852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4335&4353
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License Number State | KY
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