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General NPI Number Information
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NPI Number | 1417286253
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Entity Type | Individual
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Provider Name | LYNDSAY SHEPERD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 451 FM 548
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City | FORNEY
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State | TX
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Zip | 75126-6288
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Country | US
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Telephone | 972-552-9814
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Fax |
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Provider Business Mailing Address
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Address Line | 1128 WARBLER DR
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City | FORNEY
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State | TX
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Zip | 75126-7752
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 45405
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License Number State | TX
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