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General NPI Number Information
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NPI Number | 1457116402
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Entity Type | Individual
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Provider Name | VICTORIA HERING FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 100 HOSPITAL RD STE 2A
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City | LEOMINSTER
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State | MA
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Zip | 01453-2253
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Country | US
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Telephone | 978-798-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 10 MYRTLE ST APT 5-2A
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City | WALTHAM
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State | MA
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Zip | 02453-0581
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2340083
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License Number State | MA
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