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General NPI Number Information
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NPI Number | 1043590425
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Entity Type | Organization
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Legal Business Name | DAN KNECHTEL, DDS, PA
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 218 ELKWOOD AVE
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City | ASHEVILLE
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State | NC
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Zip | 28804-2247
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Country | US
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Telephone | 828-575-2345
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Fax | 864-575-2346
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Provider Business Mailing Address
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Address Line | 218 ELKWOOD AVE
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City | ASHEVILLE
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State | NC
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Zip | 28804-2247
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Country | US
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Telephone | 828-575-2345
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Fax | 864-575-2346
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Authorized Official
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Title or Position | OWNER
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Name | DAN KNECHTEL
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Credential |
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Telephone | 828-575-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 7622
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License Number State | NC
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