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General NPI Number Information
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NPI Number | 1750369641
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Entity Type | Individual
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Provider Name | MICHAEL LANCE HERMAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 2524 S FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90007-2549
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Country | US
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Telephone | 213-749-3888
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Fax | 213-747-8670
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Provider Business Mailing Address
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Address Line | 18203 S WESTERN AVE STE 102
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City | TORRANCE
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State | CA
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Zip | 90248
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Country | US
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Telephone | 310-447-4752
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8247T
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License Number State | CA
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