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General NPI Number Information
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NPI Number | 1164611059
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Entity Type | Organization
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Legal Business Name | JAMES KNOWLES PH.D., P.C.
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 7581 SECOR RD
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-9624
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Country | US
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Telephone | 734-347-8002
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Fax | 248-991-9360
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Provider Business Mailing Address
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Address Line | 20004 PARKER ST
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City | LIVONIA
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State | MI
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Zip | 48152-1596
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JAMES KNOWLES
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Credential | PH.D.
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Telephone | 734-347-8002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301009946
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License Number State | MI
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