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General NPI Number Information
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NPI Number | 1821051699
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Entity Type | Individual
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Provider Name | JACK L. EPTER D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 100 W INDIANTOWN RD
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City | JUPITER
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State | FL
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Zip | 33458-3530
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Country | US
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Telephone | 561-575-4400
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Fax | 561-427-0026
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Provider Business Mailing Address
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Address Line | 100 W INDIANTOWN RD
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City | JUPITER
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State | FL
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Zip | 33458-3530
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Country | US
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Telephone | 561-575-4400
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Fax | 561-427-0026
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CH0004296
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | X3467
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 3443
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | CH0004296
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | X3467
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 3443
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License Number State | NC
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