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NPI Code Detail

MEDICARE: DARCY L SHEPHERD

MEDICARE: DARCY L SHEPHERD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistAPS.001581OH
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1457988057
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCY L SHEPHERD
Provider Business Mailing Address
First Line : 371 XENIA AVE APT 1
Second Line :
City : DAYTON
State : OH
Zip : 45410-1536
Country : US
Telephone Number : 937-793-9025
Fax Number :
Provider Business Practice Location Address
First Line : 765 N DETROIT ST
Second Line :
City : XENIA
State : OH
Zip : 45385-1960
Country : US
Telephone Number : 937-505-1877
Fax Number : 800-480-7578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 07/30/2025

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Directions to “ DARCY L SHEPHERD ” Practice Location

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