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General NPI Number Information
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NPI Number | 1851657365
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Entity Type | Organization
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Legal Business Name | ADELINA W HERRERO MD PLLC
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 1159 E MICHIGAN AVE STE E
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City | YPSILANTI
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State | MI
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Zip | 48198-5807
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Country | US
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Telephone | 734-483-9474
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Fax |
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Provider Business Mailing Address
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Address Line | 1159 E MICHIGAN AVE STE E
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City | YPSILANTI
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State | MI
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Zip | 48198-5807
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADELINA HERRERO
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Credential | MD
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Telephone | 734-483-9474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4301032776
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License Number State | MI
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