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General NPI Number Information
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NPI Number | 1427388081
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Entity Type | Individual
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Provider Name | ERIC HERRIN DPM
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Gender | Male
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 13600 ICOT BLVD BLDG B
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City | CLEARWATER
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State | FL
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Zip | 33760-3703
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Country | US
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Telephone | 727-796-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 112 N 12TH ST 1909
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City | TAMPA
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State | FL
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Zip | 33602-3764
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Country | US
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Telephone | 713-253-6554
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO 2855
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License Number State | FL
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