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General NPI Number Information
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NPI Number | 1417158999
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Entity Type | Individual
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Provider Name | BRANDY SHEPPARD RN
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 04/19/2026
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Provider Practice Location Address
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Address Line | 6260 S SUNBURY RD SUITE 3
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City | WESTERVILLE
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State | OH
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Zip | 43081-9002
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Country | US
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Telephone | 614-347-1963
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Fax | 888-459-3469
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Provider Business Mailing Address
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Address Line | 3184 BOYLESTON BLVD
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City | COLUMBUS
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State | OH
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Zip | 43224-5700
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Country | US
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Telephone | 614-347-1963
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Fax | 888-459-3469
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 422042
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License Number State | OH
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