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General NPI Number Information
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NPI Number | 1003962382
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Entity Type | Individual
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Provider Name | MICHAEL KNOX PT
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 3200 SUNSET AVE SUITE 205
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City | OCEAN
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State | NJ
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Zip | 07712-4567
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Country | US
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Telephone | 732-502-8850
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Fax | 732-502-3199
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Provider Business Mailing Address
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Address Line | 3200 SUNSET AVE SUITE 205
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City | OCEAN
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State | NJ
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Zip | 07712-4567
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Country | US
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Telephone | 732-502-8850
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Fax | 732-502-3199
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA00760600
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License Number State | NJ
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