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General NPI Number Information
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NPI Number | 1871497909
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Entity Type | Individual
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Provider Name | SHEPHERD THOMAS WOLFE CPHT
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Gender | Male
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 1810 SHUG JORDAN PKWY
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City | AUBURN
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State | AL
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Zip | 36830-2926
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Country | US
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Telephone | 334-539-6318
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Fax |
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Provider Business Mailing Address
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Address Line | 141 HEMLOCK DR APT 212A
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City | AUBURN
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State | AL
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Zip | 36832-7303
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | T76628
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License Number State | AL
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