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General NPI Number Information
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NPI Number | 1851928626
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Entity Type | Organization
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Legal Business Name | DANIEL SHEPHERD DMIN, LLC
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 210 W UNIVERSITY DR STE 7
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City | ROCHESTER
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State | MI
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Zip | 48307-1975
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Country | US
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Telephone | 248-687-9251
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Fax | 248-671-3198
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Provider Business Mailing Address
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Address Line | 210 W UNIVERSITY DR STE 7
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City | ROCHESTER
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State | MI
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Zip | 48307-1975
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Country | US
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Telephone | 248-687-9251
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Fax | 248-671-3198
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Authorized Official
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Title or Position | COUPLE AND FAMILY THERAPIST
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Name | DR. DANIEL SHEPHERD
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Credential | LPC, LLMFT
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Telephone | 248-687-9251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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