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General NPI Number Information
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NPI Number | 1275996589
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Entity Type | Organization
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Legal Business Name | NON-SURGICAL ORTHOPEDICS & SPINE PLLC
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 2325 ULMERTON RD SUITE 26
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City | CLEARWATER
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State | FL
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Zip | 33762-3373
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Country | US
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Telephone | 727-914-4591
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Fax | 727-914-4598
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Provider Business Mailing Address
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Address Line | 2325 ULMERTON RD SUITE 26
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City | CLEARWATER
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State | FL
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Zip | 33762-3373
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Country | US
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Telephone | 727-914-4591
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Fax | 727-914-4598
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DAVID M EPPERSON
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Credential | MD
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Telephone | 727-914-4591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME104981
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License Number State | FL
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