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General NPI Number Information
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NPI Number | 1023393725
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Entity Type | Individual
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Provider Name | RANDALL KNIGHT RPH
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Gender | Male
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 1634 E HIGHLAND AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-4616
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Country | US
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Telephone | 909-882-2836
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Fax | 909-882-9015
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Provider Business Mailing Address
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Address Line | 100 GEORGIA ST
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City | REDLANDS
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State | CA
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Zip | 92374-4141
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Country | US
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Telephone | 909-793-6957
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH36915
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License Number State | CA
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