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General NPI Number Information
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NPI Number | 1255128120
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Entity Type | Individual
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Provider Name | ANTHONY SHEPHERD PMHNP
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Gender | Male
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 7671 QUARTERFIELD RD STE 301
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4525
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Country | US
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Telephone | 240-617-1399
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Fax | 410-210-4126
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Provider Business Mailing Address
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Address Line | 500 ROSS ST # 154-0455
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City | PITTSBURGH
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State | PA
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Zip | 15262-0001
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Country | US
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Telephone | 703-841-1290
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Fax | 410-210-4126
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R248663
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License Number State | MD
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