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General NPI Number Information
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NPI Number | 1508460809
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Entity Type | Organization
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Legal Business Name | HERSHMD LLC
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Dates
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Enumeration Date | 11/26/2020
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Last Update Date | 11/27/2021
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Provider Practice Location Address
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Address Line | 2601 MARSH RD
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City | WILMINGTON
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State | DE
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Zip | 19810-1500
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Country | US
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Telephone | 732-666-2749
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 MARSH RD
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City | WILMINGTON
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State | DE
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Zip | 19810-1500
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Country | US
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Telephone | 732-666-2749
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | HERSH PATEL
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Credential | MD
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Telephone | 732-666-2749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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