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General NPI Number Information
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NPI Number | 1427124478
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Entity Type | Individual
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Provider Name | BOBBI JEAN HERRON MS,APRN,BC-CNS
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 S LAKE PARK AVE
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City | HOBART
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State | IN
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Zip | 46342-6638
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Country | US
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Telephone | 219-947-6823
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Fax | 219-947-6863
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Provider Business Mailing Address
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Address Line | 333 INDEPENDENCE DR
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City | VALPARAISO
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State | IN
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Zip | 46383-9556
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Country | US
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Telephone | 219-464-7032
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Fax | 219-947-6863
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 70000162A
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License Number State | IN
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