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General NPI Number Information
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NPI Number | 1336116409
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Entity Type | Individual
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Provider Name | JOHN P HERMAN OD
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 217 SOUTH ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-6837
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Country | US
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Telephone | 413-499-3797
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Fax | 413-499-3834
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Provider Business Mailing Address
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Address Line | 217 SOUTH ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-6837
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Country | US
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Telephone | 413-499-3797
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Fax | 413-499-3834
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2415
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 2415
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License Number State | MA
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