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General NPI Number Information
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NPI Number | 1992883870
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Entity Type | Individual
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Provider Name | DAVID JAMES KREPS DC
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 1675 HIGHWAY 10 WEST SUITE B
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City | DILWORTH
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State | MN
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Zip | 56529-1346
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Country | US
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Telephone | 218-236-1187
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Fax | 218-236-8514
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Provider Business Mailing Address
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Address Line | PO BOX 1275
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City | MOORHEAD
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State | MN
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Zip | 56561-1275
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Country | US
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Telephone | 218-236-1187
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Fax | 218-236-8514
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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 | 2116
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License Number State | MN
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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 | 346
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 488
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License Number State | ND
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