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General NPI Number Information
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NPI Number | 1043598097
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Entity Type | Individual
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Provider Name | ANNE K. KNOOP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4831 E HAMPTON ST
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City | TUCSON
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State | AZ
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Zip | 85712-2725
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Country | US
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Telephone | 317-902-0743
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Fax |
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Provider Business Mailing Address
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Address Line | 4831 E HAMPTON ST
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City | TUCSON
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State | AZ
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Zip | 85712-2725
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Country | US
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Telephone | 317-902-0743
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31004130A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT60174150
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4842
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number | BH5312
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License Number State | AZ
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