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I'm sure this isn't what you were looking for since its somewhat costly (and there don't seem to be many Adobe fans on MR), but Adobe Acrobat Pro has a very good PDF to Word coversion built in.
Several times a week I have to take faxes (don't these people own a computer?#@$!), scan them in to my computer and then use Acrobat's OCR Optimize, OCR Scan, and PDF to Word tools to get the contents to Word 2007. It stumbles over letters that were poorly formed on the fax, but otherwise produces documents with only a few errors per page. When starting with a text PDF, it consistently produces a clean, well formatted facimile in MS Word.
With the free tools available, these features don't justify the cost for ebook conversion, but if you already use it for business, it has great capability to perform your ebook tasks also.
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