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General NPI Number Information
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NPI Number | 1487627469
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Entity Type | Individual
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Provider Name | JUDY W. HERTING MD
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | ONE CHILDREN'S PLAZA CHILDREN'S ANESTHESIA GROUP, INC.
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City | DAYTON
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State | OH
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Zip | 45404-1815
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Country | US
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Telephone | 937-641-3350
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Fax | 937-641-6145
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Provider Business Mailing Address
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Address Line | ONE CHILDREN'S PLAZA CHILDREN'S ANESTHESIA GROUP, INC.
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City | DAYTON
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State | OH
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Zip | 45404-1815
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Country | US
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Telephone | 937-641-3350
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Fax | 937-641-6145
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.055979
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 35.055979
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License Number State | OH
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