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General NPI Number Information
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NPI Number | 1306321708
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Entity Type | Individual
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Provider Name | MARY E HERC PA
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Gender | Female
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1945 STATE ROUTE 33 FL 4
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City | NEPTUNE
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State | NJ
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Zip | 07753-4859
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Country | US
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Telephone | 732-776-4949
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Fax | 732-776-4509
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Provider Business Mailing Address
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Address Line | 51 N 39TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2640
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Country | US
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Telephone | 215-662-8000
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA062334
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00943100
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License Number State | NJ
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