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General NPI Number Information
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NPI Number | 1730109968
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Entity Type | Individual
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Provider Name | LARRY D HERRON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1551 BISHOP ST STE 510
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4665
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Country | US
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Telephone | 805-541-4700
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Fax | 805-541-4713
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Provider Business Mailing Address
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Address Line | 1230 MARSH ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3326
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Country | US
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Telephone | 805-541-4700
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Fax | 805-541-4713
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | G25538
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License Number State | CA
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