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NPI 1477574234

NPI 1477574234 : JAY BERNARD HERMAN MD : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1477574234
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    Entity Type          |    Individual 
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    Provider Name        |    JAY BERNARD HERMAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/21/2006
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    Last Update Date     |    03/24/2008
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Provider Practice Location Address
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    Address Line         |    532 S AIKEN AVE SUITE 210
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15232
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    Country              |    US
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    Telephone            |    412-681-5433
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    Fax                  |    412-681-7321
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Provider Business Mailing Address
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    Address Line         |    532 S AIKEN AVE SUITE 210
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15232
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    Country              |    US
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    Telephone            |    412-681-5433
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    Fax                  |    412-681-7321
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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        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    024103E
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    License Number State |    PA
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