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General NPI Number Information
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NPI Number | 1770884074
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Entity Type | Individual
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Provider Name | CHARLES KENT KEPLER L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 1107 WESTCHESTER DR.
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114
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Country | US
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Telephone | 405-842-1662
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 WESTCHESTER DR.
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114
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Country | US
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Telephone | 405-842-1662
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | #2474
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License Number State | OK
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