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General NPI Number Information
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NPI Number | 1649251497
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Entity Type | Individual
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Provider Name | DAVID R HERRMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 4375 BOOTH CALLOWAY RD STE 307
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-8362
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Country | US
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Telephone | 817-284-4343
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Fax | 817-590-4393
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Provider Business Mailing Address
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Address Line | 601 OMEGA DR SUITE 206
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City | ARLINGTON
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State | TX
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Zip | 76014-2075
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Country | US
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Telephone | 817-465-5881
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Fax | 817-465-6336
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | J5349
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | J5349
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License Number State | TX
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