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General NPI Number Information
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NPI Number | 1811053390
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Entity Type | Individual
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Provider Name | VERNISHA Y. SHEPARD M.ED
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2626 SOUTH LOOP W STE 315
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City | HOUSTON
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State | TX
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Zip | 77054-2652
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Country | US
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Telephone | 713-667-1800
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Fax | 713-667-1811
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Provider Business Mailing Address
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Address Line | 7931 WOLFIELD LN
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City | HOUSTON
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State | TX
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Zip | 77071-2040
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Country | US
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Telephone | 713-721-8605
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Fax | 713-667-1811
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13339
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License Number State | TX
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