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General NPI Number Information
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NPI Number | 1952712853
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Entity Type | Individual
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Provider Name | WILLIAM DUNCAN SHEPARD DDS, MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 2450 FONDREN RD STE 320
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City | HOUSTON
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State | TX
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Zip | 77063-2320
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Country | US
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Telephone | 713-783-5560
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 FONDREN RD STE 320
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City | HOUSTON
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State | TX
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Zip | 77063-2320
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Country | US
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Telephone | 713-783-5560
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 35039
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License Number State | TX
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