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General NPI Number Information
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NPI Number | 1528153889
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Entity Type | Individual
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Provider Name | CECILE SHEPARD D.P.M
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 2485 HIGH SCHOOL AVE STE 222
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City | CONCORD
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State | CA
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Zip | 94520-1813
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Country | US
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Telephone | 925-372-8780
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Fax |
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Provider Business Mailing Address
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Address Line | 15 APRIL CT
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2731
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E2844
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License Number State | CA
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