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General NPI Number Information
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NPI Number | 1417152265
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Entity Type | Organization
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Legal Business Name | SHEPPARD ENTITIES INC
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 607 S MASON RD
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City | KATY
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State | TX
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Zip | 77450-3419
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Country | US
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Telephone | 281-392-6550
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Fax | 281-392-5008
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Provider Business Mailing Address
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Address Line | 607 S MASON RD
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City | KATY
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State | TX
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Zip | 77450-3419
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Country | US
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Telephone | 281-392-6550
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Fax | 281-392-5008
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM LAWRENCE SHEPPARD
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Credential | DC
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Telephone | 281-392-6550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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