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Individual
RICHARD JOSHUA SHEPARD
Active
Individual
RICHARD JOSHUA SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125498
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112735566
1199
NY
01
—
125498
HIP
NY
01
—
38360
CIGNA
NY
01
—
4276810
AETNA USHC PPO
NY
01
—
482478
AETNA USHC HMO
NY
01
—
5900725
GHI
NY
01
—
751078
UNITED HEALTHCARE
NY
01
—
950121
PHS
NY
01
—
NP361
OXFORD HEALTH PLANS
NY
01
—
SR5498
ATLANTIS
NY
Enumeration date
08/28/2006
Last updated
04/01/2021
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