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General NPI Number Information
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NPI Number | 1285847707
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Entity Type | Individual
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Provider Name | SHEPPHERD A WEISS NMD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 36600 N. PIMA RD #209
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City | CAREFREE
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State | AZ
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Zip | 85377
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Country | US
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Telephone | 480-775-0575
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Fax | 480-900-8499
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Provider Business Mailing Address
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Address Line | P.O. BOX 6134
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City | CAREFREE
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State | AZ
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Zip | 85377
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Country | US
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Telephone | 480-775-0575
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Fax | 480-900-8499
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 97502
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 97-502
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License Number State | AZ
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