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General NPI Number Information
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NPI Number | 1013264902
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Entity Type | Individual
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Provider Name | RHONDA L. SHEPHERD LCSWA, LCAS, CCS
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Gender | Female
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 4045 UNIVERSITY PKWY STE 230
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3755
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Country | US
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Telephone | 336-972-9947
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Fax | 774-486-7630
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Provider Business Mailing Address
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Address Line | 4948 GERMANTON RD
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City | WINSTON SALEM
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State | NC
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Zip | 27105-2221
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Country | US
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Telephone | 336-972-9947
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Fax | 336-725-1061
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LCAS-2859
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | P018825
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License Number State | NC
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