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General NPI Number Information
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NPI Number | 1215008354
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Entity Type | Individual
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Provider Name | WILLIAM STEVEN HERZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 125 SW C ST
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City | MADRAS
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State | OR
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Zip | 97741-1458
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Country | US
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Telephone | 541-475-6575
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Fax | 541-475-6196
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Provider Business Mailing Address
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Address Line | PO BOX 718
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City | BEND
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State | OR
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Zip | 97709-0718
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Country | US
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Telephone | 541-388-9836
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Fax | 541-475-6196
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 11812
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License Number State | OR
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