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General NPI Number Information
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NPI Number | 1417164229
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Entity Type | Individual
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Provider Name | KARL D PEEBLES PT
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 2210 SE 17TH ST
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City | OCALA
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State | FL
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Zip | 34471-9144
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Country | US
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Telephone | 352-629-4509
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Fax |
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Provider Business Mailing Address
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Address Line | 5062 SE 37TH AVE
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City | OCALA
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State | FL
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Zip | 34480-8521
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5648
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License Number State | FL
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