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General NPI Number Information
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NPI Number | 1316819030
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Entity Type | Organization
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Legal Business Name | REPP CALIFORNIA PAIN & RECOVERY CHIROPRACTIC CORP
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 530 PLAZA DR STE 110
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City | FOLSOM
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State | CA
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Zip | 95630-4782
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Country | US
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Telephone | 281-831-6290
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Fax | 832-442-3800
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Provider Business Mailing Address
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Address Line | 108 BARBADOS DR
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City | PONTE VEDRA
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State | FL
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Zip | 32081-1506
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Country | US
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Telephone | 281-831-6181
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Fax | 832-442-3800
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KIRT W REPP
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Credential | DC
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Telephone | 281-831-6290
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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 |
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License Number State |
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