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General NPI Number Information
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NPI Number | 1265534044
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Entity Type | Organization
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Legal Business Name | GLOBAL SHEPERDING
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16205 S 37TH WAY
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City | PHOENIX
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State | AZ
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Zip | 85048-7357
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Country | US
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Telephone | 623-572-6033
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Fax |
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Provider Business Mailing Address
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Address Line | 16205 S 37TH WAY
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City | PHOENIX
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State | AZ
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Zip | 85048-7357
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Country | US
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Telephone | 480-706-0541
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANE DORIS LUTHER
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Credential | LCSW
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Telephone | 623-572-6033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | O311
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License Number State | FL
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