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General NPI Number Information
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NPI Number | 1174094882
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Entity Type | Individual
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Provider Name | KATHERINE JANE WELCH PEEPLES DC
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Gender | Female
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 3137 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33803-4563
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Country | US
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Telephone | 863-937-4879
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Fax | 863-588-0195
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Provider Business Mailing Address
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Address Line | 4837 CELIA CIR E
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City | LAKELAND
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State | FL
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Zip | 33813-2405
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Country | US
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Telephone | 863-529-5996
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12636
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License Number State | FL
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