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General NPI Number Information
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NPI Number | 1598990558
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Entity Type | Individual
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Provider Name | TAMARA A SHEPLAN PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 12446 WEST AVE STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2530
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Country | US
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Telephone | 210-729-2262
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 781983
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City | SAN ANTONIO
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State | TX
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Zip | 78278-1983
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 34413
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License Number State | TX
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