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General NPI Number Information
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NPI Number | 1336157197
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Entity Type | Organization
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Legal Business Name | PAUL D HIERHOLZER DO PC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 750 SHORE RD
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2363
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Country | US
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Telephone | 609-653-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 750 SHORE RD
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2363
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Country | US
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Telephone | 609-653-2101
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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. PAUL DANIEL HIERHOLZER
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Credential | DO
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Telephone | 609-653-2101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MB059402
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License Number State | NJ
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