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General NPI Number Information
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NPI Number | 1851005151
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Entity Type | Individual
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Provider Name | ALEC KEBRDLE DC
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Gender | Male
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1060 N CAPITOL AVE STE A265
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1044
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Country | US
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Telephone | 317-967-0440
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 N CAPITOL AVE STE A-265
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1044
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Country | US
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Telephone | 317-967-0440
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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 | 14352
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License Number State | FL
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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 | 08003480A
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License Number State | IN
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