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General NPI Number Information
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NPI Number | 1225124993
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Entity Type | Organization
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Legal Business Name | SHUMAN-SHEPHERD INC.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6074 N 9TH ST
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City | FRESNO
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State | CA
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Zip | 93710-5816
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Country | US
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Telephone | 559-435-7784
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Fax | 559-435-6186
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Provider Business Mailing Address
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Address Line | 6074 N 9TH ST
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City | FRESNO
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State | CA
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Zip | 93710-5816
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Country | US
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Telephone | 559-435-7784
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Fax | 559-435-6186
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATHY SHUMAN
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Credential |
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Telephone | 559-435-7784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State | CA
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