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General NPI Number Information
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NPI Number | 1861692154
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Entity Type | Organization
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Legal Business Name | WILLIAM J HERRMANN MD PC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 5882 S HOSPITAL DR SUITE 1
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City | GLOBE
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State | AZ
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Zip | 85501
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Country | US
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Telephone | 928-425-2474
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Fax | 928-425-2383
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Provider Business Mailing Address
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Address Line | PO BOX 3955
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City | COTTONWOOD
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State | AZ
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Zip | 86326-2610
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Country | US
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Telephone | 928-639-2090
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Fax | 928-639-0167
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | WILLIAM J HERRMANN
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Credential | MD
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Telephone | 928-425-2474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 18619
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License Number State | AZ
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