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General NPI Number Information
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NPI Number | 1740504885
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Entity Type | Individual
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Provider Name | JOSEPH W HERRMANN DO
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Gender | Male
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 1711 27TH ST STE 206
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2669
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Country | US
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Telephone | 740-356-8772
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Fax | 740-356-1264
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Provider Business Mailing Address
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Address Line | 1735 27TH ST STE B06
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2681
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Country | US
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Telephone | 740-356-8681
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Fax | 740-353-7900
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 5101021641
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 5101021641
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 34012658
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License Number State | OH
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