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General NPI Number Information
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NPI Number | 1295832822
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Entity Type | Individual
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Provider Name | MARK F HERMAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 03/28/2009
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Provider Practice Location Address
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Address Line | 301 NW 84TH AVE SUITE 301
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City | PLANTATION
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State | FL
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Zip | 33324-1807
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Country | US
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Telephone | 954-693-7601
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Fax | 954-756-7379
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Provider Business Mailing Address
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Address Line | 962 GREENWOOD RD
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City | WESTON
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State | FL
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Zip | 33327-1858
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Country | US
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Telephone | 954-384-8095
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Fax | 954-756-7379
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0006003
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License Number State | FL
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