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General NPI Number Information
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NPI Number | 1164408209
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Entity Type | Organization
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Legal Business Name | JOEL KNEITZ MD PA
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 205 W WINDCREST ST SUITE 250
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4479
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Country | US
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Telephone | 830-997-6000
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Fax | 830-997-6040
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Provider Business Mailing Address
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Address Line | 205 W WINDCREST ST SUITE 250
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4479
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Country | US
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Telephone | 830-997-6000
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Fax | 830-997-6040
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOEL STEVE KNEITZ
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Credential | MD
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Telephone | 830-997-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K1227
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | K1227
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K1227
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | K1227
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License Number State | TX
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