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General NPI Number Information
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NPI Number | 1043468762
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Entity Type | Individual
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Provider Name | KAREN L. KNOX LCSW, PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2008
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 230 BRADY RD
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City | SACKETS HARBOR
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State | NY
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Zip | 13685-9502
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Country | US
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Telephone | 813-735-9301
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Fax |
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Provider Business Mailing Address
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Address Line | 230 BRADY RD
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City | SACKETS HARBOR
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State | NY
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Zip | 13685-9502
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Country | US
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Telephone | 813-735-9301
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW8717
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY9213
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License Number State | FL
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