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General NPI Number Information
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NPI Number | 1770606857
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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 | 04/06/2007
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 1108 W PARKER RD SUITE 102
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City | PLANO
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State | TX
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Zip | 75075-4000
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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 SUITE 102
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City | PLANO
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State | TX
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Zip | 75075-4000
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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 | PROPRIETOR
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Name | KARL ANDREW SHEPHERD
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Credential | D.C.
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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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