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General NPI Number Information
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NPI Number | 1295821262
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Entity Type | Organization
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Legal Business Name | WILLIAM F HERRMANN DPM PC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 234 E 17TH ST SUITE #104
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City | COSTA MESA
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State | CA
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Zip | 92627-3825
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Country | US
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Telephone | 949-855-4634
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11599
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City | COSTA MESA
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State | CA
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Zip | 92627-0599
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Country | US
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Telephone | 949-855-4634
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM FREDERICK HERRMANN
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Credential | DPM
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Telephone | 949-855-4634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E3248
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License Number State | CA
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