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General NPI Number Information
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NPI Number | 1598752545
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Entity Type | Individual
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Provider Name | KIRT W REPP DC
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 3033 HARTLEY RD STE 6
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6280
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Country | US
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Telephone | 904-481-1111
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Fax | 832-442-3800
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Provider Business Mailing Address
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Address Line | PO BOX 9973
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City | THE WOODLANDS
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State | TX
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Zip | 77387-6973
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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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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 | 1811
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License Number State | LA
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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 | 12872
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | TX8323
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12872
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 8323
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 8323
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 8323
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License Number State | TX
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