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General NPI Number Information
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NPI Number | 1255675310
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Entity Type | Organization
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Legal Business Name | KEPLER FAMILY CHIROPRACTIC, PC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 4727 N 26TH ST STE. D
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City | LINCOLN
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State | NE
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Zip | 68521-4706
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Country | US
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Telephone | 402-438-2090
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Fax | 402-438-4750
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Provider Business Mailing Address
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Address Line | 4727 N 26TH ST STE. D
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City | LINCOLN
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State | NE
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Zip | 68521-4706
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Country | US
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Telephone | 402-438-2090
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Fax | 402-438-4750
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. SHANE DEE KEPLER
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Credential | D.C.
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Telephone | 402-438-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1232
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License Number State | NE
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