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General NPI Number Information
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NPI Number | 1740310804
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Entity Type | Individual
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Provider Name | STANLEY MCDONALD SHEPPERSON PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | NATIONAL NAVAL MEDICAL CTR 8901 WISCONSIN AVENUE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-319-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 6445 LUZON AVE NW APT 512
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City | WASHINGTON
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State | DC
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Zip | 20012-3021
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Country | US
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Telephone | 202-726-5582
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14595
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License Number State | MD
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