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General NPI Number Information
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NPI Number | 1003185950
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Entity Type | Individual
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Provider Name | MARC A KEPNER
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Gender | Male
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 2200 9TH ST N
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City | NAPLES
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State | FL
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Zip | 34103-4401
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Country | US
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Telephone | 239-263-0240
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Fax | 239-263-8545
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Provider Business Mailing Address
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Address Line | 1400 GULF SHORE BLVD N APT # 211
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City | NAPLES
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State | FL
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Zip | 34102-4968
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Country | US
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Telephone | 239-398-4895
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS 33909
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License Number State | FL
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