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General NPI Number Information
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NPI Number | 1104944917
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Entity Type | Organization
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Legal Business Name | KNOPFLER WHOLISTIC WELLNESS GROUP P.A.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 501 GOLDEN ISLES DR STE 201A
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4729
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Country | US
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Telephone | 954-483-8644
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Fax |
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Provider Business Mailing Address
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Address Line | 3389 SHERIDAN ST # 492
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3606
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Country | US
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Telephone | 954-483-8644
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SUSAN KNOPFLER
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Credential | D.C.
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Telephone | 954-483-8644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 9287
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License Number State | FL
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