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General NPI Number Information
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NPI Number | 1689168403
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Entity Type | Organization
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Legal Business Name | ROBIN N HERMES, MD, PC
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 2440 LOUSIANA BLVD. NE STE 580
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City | ALBUQUERQUE
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State | NM
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Zip | 87110
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Country | US
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Telephone | 866-972-1647
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 LOUSIANA BLVD. NE STE 580
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City | ALBUQUERQUE
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State | NM
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Zip | 87110
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Country | US
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Telephone | 866-972-1647
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBIN HERMES
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Credential | MD
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Telephone | 505-980-5098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 98-289
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License Number State | NM
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