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General NPI Number Information
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NPI Number | 1144584822
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Entity Type | Individual
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Provider Name | KATHLEEN ELANE KNAPP M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 1402 S GRAND BLVD FDT, 14TH FLOOR
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1004
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Country | US
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Telephone | 314-977-9852
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 N CENTRAL AVE STE 1600
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City | PHOENIX
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State | AZ
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Zip | 85004-4633
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Country | US
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Telephone | 602-262-8900
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Fax | 602-262-8890
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 2012018759
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 47692
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License Number State | AZ
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