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NPI 1265648109

NPI 1265648109 : MATTHEW R SHEEDY DPM : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1265648109
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    Entity Type          |    Individual 
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    Provider Name        |    MATTHEW R SHEEDY DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/15/2007
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    ONE HEALTH PARK DRIVE 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28792
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    Country              |    US
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    Telephone            |    828-274-7367
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    Fax                  |    828-998-9056
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1869 
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    City                 |    FLETCHER
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    State                |    NC
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    Zip                  |    28732-1869
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    Country              |    US
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    Telephone            |    
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    674
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    674
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    213EP1101X
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    Taxonomy Name        |    Primary Podiatric Medicine Podiatrist
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    License Number       |    674
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    License Number State |    NC
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