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Individual
DR. KENT RICHARD EBLING
Active
Individual
DR. KENT RICHARD EBLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350032963
RAILROAD MEDICARE
FL
05
—
382273700
—
FL
Enumeration date
10/11/2005
Last updated
09/19/2011
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