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General NPI Number Information
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NPI Number | 1588796346
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Entity Type | Individual
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Provider Name | NANCY L SHEPPARD LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7003 N FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90042-1247
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Country | US
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Telephone | 323-543-4202
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Fax | 323-257-6418
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Provider Business Mailing Address
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Address Line | 10514 MONOGRAM AVE
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6756
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Country | US
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Telephone | 818-681-6442
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Fax | 323-257-6418
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC30280
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License Number State | CA
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