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General NPI Number Information
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NPI Number | 1477092278
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Entity Type | Individual
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Provider Name | MEGAN SHEPHERD
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Gender | Female
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 70 MAIN ST
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City | FRENCHBURG
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State | KY
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Zip | 40322-8318
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Country | US
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Telephone | 866-233-1955
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Fax | 859-498-7547
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Provider Business Mailing Address
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Address Line | PO BOX 790
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City | ASHLAND
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State | KY
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Zip | 41105-0790
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Country | US
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Telephone | 606-329-8588
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 254308
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 256969
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License Number State | KY
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