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General NPI Number Information
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NPI Number | 1487847331
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Entity Type | Individual
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Provider Name | ROBERT JAMEY HERBST DPM
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Gender | Male
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 600 MEIJER DR STE 104
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City | FLORENCE
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State | KY
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Zip | 41042-4878
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Country | US
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Telephone | 859-757-8262
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Fax | 859-282-1086
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Provider Business Mailing Address
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Address Line | 600 MEIJER DR STE 104
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City | FLORENCE
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State | KY
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Zip | 41042-4878
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Country | US
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Telephone | 859-757-8262
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Fax | 859-282-1086
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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 | 07000975A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00353
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License Number State | KY
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