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General NPI Number Information
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NPI Number | 1013921709
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Entity Type | Individual
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Provider Name | PETER M KNAPP JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 12188A N MERIDIAN ST SUITE #200
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City | CARMEL
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State | IN
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Zip | 46032-4410
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Country | US
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Telephone | 317-564-5100
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Fax | 317-564-5556
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Provider Business Mailing Address
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Address Line | 679 E COUNTY LINE RD
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City | GREENWOOD
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State | IN
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Zip | 46143-1049
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Country | US
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Telephone | 317-807-1262
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Fax | 317-859-4268
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 01030554A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 01030554A
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License Number State | IN
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