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General NPI Number Information
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NPI Number | 1639274723
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Entity Type | Organization
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Legal Business Name | ANTHONY W. SHEPLAY, MD, DBA: TEMPLETON SURGERY CENTER
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 1105 LAS TABLAS RD SUITE E
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City | TEMPLETON
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State | CA
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Zip | 93465-9731
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Country | US
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Telephone | 805-434-5428
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 LAS TABLAS RD SUITE E
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City | TEMPLETON
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State | CA
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Zip | 93465-9731
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Country | US
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Telephone | 805-434-5428
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. DOUGLAS CANNON
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Credential | MD
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Telephone | 805-434-5428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 5051165A
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License Number State | CA
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