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General NPI Number Information
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NPI Number | 1093963936
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Entity Type | Organization
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Legal Business Name | SANDRA MCKNIGHT
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 7909 ELK MOUNTAIN TRL
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City | MCKINNEY
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State | TX
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Zip | 75070-6805
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Country | US
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Telephone | 972-464-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 7909 ELK MOUNTAIN TRL
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City | MCKINNEY
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State | TX
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Zip | 75070-6805
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Country | US
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Telephone | 972-464-9611
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SANDRA JEAN MCKNIGHT
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Credential | LMSW
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Telephone | 972-464-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | TX
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