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General NPI Number Information
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NPI Number | 1023441128
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Entity Type | Individual
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Provider Name | KORIE KNAPP BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 5524 BEE CAVES RD BLDG J
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5245
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Country | US
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Telephone | 512-897-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 4418 HANK AVE APT 4
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City | AUSTIN
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State | TX
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Zip | 78745-1005
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Country | US
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Telephone | 512-897-0872
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-11-7974
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License Number State |
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