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General NPI Number Information
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NPI Number | 1588843460
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Entity Type | Organization
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Legal Business Name | KARL ANDREW SHEPHERD DC PA
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 1108 W PARKER RD STE 102
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City | PLANO
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State | TX
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Zip | 75075-2245
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Country | US
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Telephone | 972-398-0440
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Fax | 972-398-9069
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Provider Business Mailing Address
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Address Line | 1108 W PARKER RD STE 102
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City | PLANO
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State | TX
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Zip | 75075-2245
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Country | US
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Telephone | 972-398-0440
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Fax | 972-398-9069
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Authorized Official
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Title or Position | OWNER
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Name | DR. KARL ANDREW SHEPHERD
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Credential | DC PA CCN
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Telephone | 972-398-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9480
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License Number State | TX
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