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General NPI Number Information
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NPI Number | 1295370955
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Entity Type | Organization
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Legal Business Name | KATIE HERMAN ACUPUNCTURE
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Dates
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Enumeration Date | 11/16/2019
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 1202 ANNAPOLIS RD STE E
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City | ODENTON
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State | MD
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Zip | 21113-1398
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Country | US
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Telephone | 410-417-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 364 SHEFFIELD RD
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City | SEVERNA PARK
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State | MD
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Zip | 21146-1626
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Country | US
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Telephone | 443-562-9931
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE HERMAN
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Credential | LAC
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Telephone | 443-562-9931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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