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General NPI Number Information
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NPI Number | 1265457147
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Entity Type | Organization
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Legal Business Name | DR PEPPER CHIROPRACTIC-ACUPUNCTURE CENTER INC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 2827 ALT. HWY 27 S
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City | SEBRING
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State | FL
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Zip | 33870
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Country | US
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Telephone | 863-386-4325
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Fax | 863-386-0473
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Provider Business Mailing Address
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Address Line | 2827 ALT. HWY 27 S
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City | SEBRING
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State | FL
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Zip | 33870
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Country | US
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Telephone | 863-386-4325
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Fax | 863-386-0473
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Authorized Official
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Title or Position | DR
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Name | DR. LARRY JOHN PEPPER JR.
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Credential | D.C.
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Telephone | 863-386-4325
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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 | CH 7522
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License Number State | FL
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