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General NPI Number Information
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NPI Number | 1134741580
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Entity Type | Organization
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Legal Business Name | KNOWLES EXAMS & MORE
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 123 GLYNDALE DR STE 107
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City | BRUNSWICK
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State | GA
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Zip | 31520-1404
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Country | US
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Telephone | 912-506-5644
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Fax | 912-452-1163
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Provider Business Mailing Address
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Address Line | 123 GLYNDALE DR STE 107
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City | BRUNSWICK
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State | GA
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Zip | 31520-1404
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Country | US
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Telephone | 912-506-5644
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Fax | 912-452-1163
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHANTAE A KNOWLES
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Credential |
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Telephone | 912-248-0062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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