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1962521880 NPI number — DR. LARRY D. HERWIG VI

NPI Number: 1962521880
Health Care Provider/Practitioner: DR. LARRY D. HERWIG VI

Information about “1962521880” NPI (DR. LARRY D. HERWIG VI) exists in 1962521880 in HTML format HTML  |  1962521880 in plain Text format TXT  |  1962521880 in PDF (Portable Document Format) PDF  |  1962521880 in an XML format XML  formats.

NPI Number : 1962521880 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962521880",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HERWIG",
    "FirstName": "LARRY",
    "MiddleName": "D.",
    "NamePrefix": "DR.",
    "NameSuffix": "VI",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HERWIG",
    "OtherFirstName": "LARRY",
    "OtherMiddleName": "D.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "8411 PRESTON RD #850",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-361-1845",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8411 PRESTON RD #850",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75225",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-361-1845",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/29/2007",
    "LastUpdateDate": "07/31/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "14194",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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