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General NPI Number Information
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NPI Number | 1083947089
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Entity Type | Organization
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Legal Business Name | JONATHAN M. KNEE, DPM
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 514 GRAMATAN AVE P4
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City | MOUNT VERNON
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State | NY
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Zip | 10552-3054
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Country | US
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Telephone | 914-667-2225
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Fax | 914-667-2224
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Provider Business Mailing Address
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Address Line | 514 GRAMATAN AVE P4
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City | MOUNT VERNON
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State | NY
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Zip | 10552-3054
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Country | US
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Telephone | 914-667-2225
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Fax | 914-667-2224
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. JONATHAN M KNEE
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Credential | DPM
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Telephone | 914-667-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | NOO5335-1
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License Number State | NY
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