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General NPI Number Information
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NPI Number | 1831012988
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Entity Type | Organization
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Legal Business Name | SHEPHERD'S HEALTHCARE LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 14040 N CAVE CREEK RD UNIT 306-307
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City | PHOENIX
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State | AZ
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Zip | 85022-6117
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Country | US
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Telephone | 480-992-4165
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Fax | 480-914-9173
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Provider Business Mailing Address
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Address Line | 14040 N CAVE CREEK RD UNIT 306-307
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City | PHOENIX
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State | AZ
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Zip | 85022-6117
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Country | US
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Telephone | 480-992-4165
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Fax | 480-914-9173
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL C NWOKE
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Credential |
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Telephone | 872-371-9249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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