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General NPI Number Information
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NPI Number | 1114844925
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Entity Type | Individual
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Provider Name | KIRSTEN SHEPPARD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 11660 UPPER GILCHRIST RD
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City | MOUNT VERNON
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State | OH
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Zip | 43050-9084
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Country | US
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Telephone | 740-392-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 4946 STATE ROUTE 229
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City | MARENGO
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State | OH
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Zip | 43334-9634
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Country | US
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Telephone | 614-935-4238
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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 | RN.458948
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License Number State | OH
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