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General NPI Number Information
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NPI Number | 1508011263
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Entity Type | Organization
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Legal Business Name | MICHAEL A. KEPLEY, M.D. P.A.
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Dates
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Enumeration Date | 11/22/2008
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Last Update Date | 11/22/2008
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Provider Practice Location Address
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Address Line | 527 BROOKDALE DR
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City | STATESVILLE
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State | NC
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Zip | 28677-4107
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Country | US
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Telephone | 704-872-4499
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Fax | 704-872-0337
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Provider Business Mailing Address
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Address Line | 527 BROOKDALE DR
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City | STATESVILLE
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State | NC
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Zip | 28677-4107
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Country | US
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Telephone | 704-872-4499
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Fax | 704-872-0337
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MICHAEL AVERY KEPLEY
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Credential | M.D.
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Telephone | 704-872-4499
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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 | 27876
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License Number State | NC
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