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General NPI Number Information
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NPI Number | 1043205628
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Entity Type | Individual
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Provider Name | DEBORAH APOLLO SHEPARD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 64 BUNTINGS MILL CT
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City | SELBYVILLE
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State | DE
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Zip | 19975-3627
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Country | US
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Telephone | 952-807-7162
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Fax |
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Provider Business Mailing Address
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Address Line | 64 BUNTINGS MILL CT
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City | SELBYVILLE
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State | DE
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Zip | 19975-3627
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Country | US
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Telephone | 952-807-7162
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 06263
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG0001083
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License Number State | DE
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