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General NPI Number Information
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NPI Number | 1063953594
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Entity Type | Individual
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Provider Name | MS. JULI M KNIGHT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 9 BOSTON ST, 2ND FLOOR
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City | LYNN
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State | MA
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Zip | 01904
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Country | US
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Telephone | 781-598-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 9 BOSTON ST., 2ND FLOOR
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City | LYNN
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State | MA
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Zip | 01904
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Country | US
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Telephone | 781-598-8282
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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 | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number | BHP-2017-1419
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License Number State | MA
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