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General NPI Number Information
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NPI Number | 1982574703
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Entity Type | Organization
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Legal Business Name | MARY KATE HERMAN, DMD, PLLC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1227 S FORT THOMAS AVE
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City | FORT THOMAS
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State | KY
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Zip | 41075-2421
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Country | US
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Telephone | 859-572-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 S FORT THOMAS AVE
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City | FORT THOMAS
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State | KY
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Zip | 41075-2421
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Country | US
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Telephone | 859-572-6700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY KATHLEEN HERMAN
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Credential | DMD
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Telephone | 513-300-0642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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