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General NPI Number Information
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NPI Number | 1437625449
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Entity Type | Individual
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Provider Name | DIEDRE SHEPARD FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3827 N LAFAYETTE ST
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City | DENVER
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State | CO
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Zip | 80205-5089
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Country | US
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Telephone | 303-500-1518
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 N HIGHWAY 377 STE 110
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City | PILOT POINT
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State | TX
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Zip | 76258-3765
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Country | US
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Telephone | 940-686-0860
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-192375
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11506
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 890389
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11039824
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CAPN0003095CNP
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP70006064
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-82935-102
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License Number State | KS
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP139187
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 305855
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License Number State | AZ
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5014718
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License Number State | NC
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP139187
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0030633
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License Number State | OH
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024183695
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License Number State | VA
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277001705
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License Number State | IL
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