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General NPI Number Information
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NPI Number | 1811534415
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Entity Type | Organization
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Legal Business Name | JEPSEN CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 7330 ENGINEER RD STE C
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City | SAN DIEGO
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State | CA
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Zip | 92111-1434
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Country | US
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Telephone | 858-987-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 7330 ENGINEER RD STE C
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City | SAN DIEGO
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State | CA
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Zip | 92111-1434
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Country | US
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Telephone | 515-865-6946
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | CHRISTOPHER JEPSEN
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Credential | DC
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Telephone | 515-865-6946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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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 |
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License Number State |
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