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General NPI Number Information
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NPI Number | 1629200209
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Entity Type | Organization
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Legal Business Name | ELIAS M HERSCHMANN MD PA
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 4430 PINE TREE DR
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3132
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Country | US
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Telephone | 305-491-2233
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Fax | 305-531-7784
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Provider Business Mailing Address
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Address Line | 4430 PINE TREE DR
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3132
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Country | US
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Telephone | 305-491-2233
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Fax | 305-531-7784
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIAS M HERSCHMANN
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Credential | MD
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Telephone | 305-534-8211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME0015129
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License Number State | FL
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