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General NPI Number Information
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NPI Number | 1447440425
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Entity Type | Individual
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Provider Name | JENNIFER FIPPS D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 274 CASSIDY BLVD STE 2
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City | PIKEVILLE
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State | KY
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Zip | 41501-1559
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Country | US
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Telephone | 606-653-6016
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Fax | 606-653-6017
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Provider Business Mailing Address
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Address Line | 274 CASSIDY BLVD STE 2
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City | PIKEVILLE
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State | KY
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Zip | 41501-1559
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Country | US
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Telephone | 859-203-5100
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Fax | 606-393-0902
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1702
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 249207
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License Number State | KY
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