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General NPI Number Information
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NPI Number | 1689094922
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Entity Type | Individual
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Provider Name | JOHN HOWARD HERMANO PT
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Gender | Male
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Dates
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Enumeration Date | 04/25/2014
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 700 CONSTITUTION AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20002-6058
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Country | US
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Telephone | 202-543-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 19TH ST NW 805
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City | WASHINGTON
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State | DC
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Zip | 20009-1344
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Country | US
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Telephone | 414-736-3805
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT870509
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License Number State | DC
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