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General NPI Number Information
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NPI Number | 1134254261
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Entity Type | Individual
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Provider Name | DAVID ERIC KEPPLER PT
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3590 MARY ADER AVE APT. 1231
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City | CHARLESTON
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State | SC
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Zip | 29414-5784
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Country | US
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Telephone | 843-697-2599
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Fax | 843-852-2296
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Provider Business Mailing Address
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Address Line | 3590 MARY ADER AVE APT. 1231
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City | CHARLESTON
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State | SC
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Zip | 29414-5784
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Country | US
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Telephone | 843-697-2599
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Fax | 843-852-2296
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5348
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | QA005869
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License Number State | NJ
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