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General NPI Number Information
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NPI Number | 1023099140
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Entity Type | Individual
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Provider Name | WILLIAM STEPHEN KNAPP D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 2137 CHARBONIER RD STE B
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City | FLORISSANT
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State | MO
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Zip | 63031-5500
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Country | US
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Telephone | 314-831-0181
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Fax | 314-851-4471
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Provider Business Mailing Address
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Address Line | PO BOX 23340
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City | SAINT LOUIS
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State | MO
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Zip | 63156-3340
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Country | US
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Telephone | 314-831-0181
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Fax | 314-851-4471
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | R8885
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License Number State | MO
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