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General NPI Number Information
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NPI Number | 1336688936
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Entity Type | Individual
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Provider Name | PAULA MARIA HERRERA SA-C., M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 4410 WESTHEIMER RD APT 4407
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City | HOUSTON
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State | TX
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Zip | 77027-1812
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Country | US
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Telephone | 817-757-0281
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Fax |
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Provider Business Mailing Address
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Address Line | 4410 WESTHEIMER RD APT 4407
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City | HOUSTON
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State | TX
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Zip | 77027-1812
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Country | US
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Telephone | 817-757-0281
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 17-122
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License Number State | WI
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