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General NPI Number Information
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NPI Number | 1437566908
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Entity Type | Individual
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Provider Name | AMY SHEPARD P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 7645 MARKET ST STE 110
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-6098
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Country | US
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Telephone | 330-965-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 WESTINGHOUSE DR STE 200
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-5238
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Country | US
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Telephone | 724-343-4046
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT023378
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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