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General NPI Number Information
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NPI Number | 1467521054
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Entity Type | Individual
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Provider Name | LEIGH SHEPHERD RIFFE PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 6911 SHANNON WILLOW RD STE 400
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City | CHARLOTTE
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State | NC
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Zip | 28226-1350
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Country | US
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Telephone | 980-296-2211
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Fax | 984-235-1617
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Provider Business Mailing Address
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Address Line | 6911 SHANNON WILLOW RD STE 400
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City | CHARLOTTE
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State | NC
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Zip | 28226-1350
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Country | US
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Telephone | 980-296-2211
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Fax | 910-791-6890
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-00848
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License Number State | NC
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