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General NPI Number Information
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NPI Number | 1215252283
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Entity Type | Individual
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Provider Name | HEATHER Y SHEPHERD SAC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 04/02/2010
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Provider Practice Location Address
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Address Line | 1210 KY HIGHWAY 36 E
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City | CYNTHIANA
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State | KY
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Zip | 41031-7490
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Country | US
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Telephone | 859-234-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 2290 ROBINSON UNION RD
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City | CYNTHIANA
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State | KY
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Zip | 41031-5185
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Country | US
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Telephone | 859-588-3396
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Fax | 859-235-3616
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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