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General NPI Number Information
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NPI Number | 1669293122
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Entity Type | Organization
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Legal Business Name | ALYSA R. HERMAN, MD, PA
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 135 SAN LORENZO AVE STE 700
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City | CORAL GABLES
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State | FL
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Zip | 33146-1876
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Country | US
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Telephone | 305-444-4979
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Fax |
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Provider Business Mailing Address
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Address Line | 135 SAN LORENZO AVE STE 700
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City | CORAL GABLES
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State | FL
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Zip | 33146-1876
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Country | US
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Telephone | 305-444-4979
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Fax |
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | ALYSA R HERMAN
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Credential | MD
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Telephone | 305-444-4979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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