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General NPI Number Information
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NPI Number | 1255498887
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Entity Type | Individual
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Provider Name | STEPHEN MITCHELL HERRING MD DDS
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 516 BEAUMONT RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4443
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Country | US
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Telephone | 910-486-9093
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Fax | 910-486-9048
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Provider Business Mailing Address
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Address Line | PO BOX 53726
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-3726
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Country | US
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Telephone | 910-486-9093
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Fax | 910-486-9048
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35368
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License Number State | NC
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