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NPI 1700865607

NPI 1700865607 : BARRY EUGENE HERMAN M.D. : EASTON, PA

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General NPI Number Information
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    NPI Number           |    1700865607
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    Entity Type          |    Individual 
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    Provider Name        |    BARRY EUGENE HERMAN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/10/2006
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    Last Update Date     |    01/14/2019
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Provider Practice Location Address
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    Address Line         |    20 COMMUNITY DR 
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    City                 |    EASTON
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    State                |    PA
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    Zip                  |    18045-2658
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    Country              |    US
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    Telephone            |    610-258-6635
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    Fax                  |    610-258-2879
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Provider Business Mailing Address
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    Address Line         |    20 COMMUNITY DR 
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    City                 |    EASTON
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    State                |    PA
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    Zip                  |    18045-2658
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    Country              |    US
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    Telephone            |    610-258-6635
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    Fax                  |    610-258-2879
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    MD040303E
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    25MA06206300
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    MD465345
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    License Number State |    PA
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