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General NPI Number Information
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NPI Number | 1932269156
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Entity Type | Individual
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Provider Name | MARTHA MARIA HERRERO MD
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 15143 WOODLAWN AVE
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City | TUSTIN
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State | CA
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Zip | 92780-6452
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Country | US
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Telephone | 714-426-4500
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Fax | 714-426-4500
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Provider Business Mailing Address
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Address Line | 15143 WOODLAWN AVE
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City | TUSTIN
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State | CA
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Zip | 92780-6452
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Country | US
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Telephone | 714-426-4500
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Fax | 714-426-4500
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D7474
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 70-32
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C51876
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License Number State | CA
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