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General NPI Number Information
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NPI Number | 1710396551
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Entity Type | Individual
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Provider Name | JENNIFER LAUREN HEPLER D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 600 S YONGE ST STE 13A
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City | ORMOND BEACH
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State | FL
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Zip | 32174-7588
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Country | US
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Telephone | 386-232-8114
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Fax |
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Provider Business Mailing Address
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Address Line | 319 TIMBERLINE TRL
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8505
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Country | US
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Telephone | 386-295-8490
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 11278
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License Number State | FL
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