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General NPI Number Information
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NPI Number | 1164807244
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Entity Type | Organization
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Legal Business Name | KATHLEEN KNAPP DO PC
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 1320 BYRON RD
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City | HOWELL
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State | MI
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Zip | 48843-1077
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Country | US
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Telephone | 517-548-9200
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Fax | 517-548-9268
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Provider Business Mailing Address
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Address Line | 1320 BYRON RD
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City | HOWELL
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State | MI
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Zip | 48843-1077
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Country | US
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Telephone | 517-548-9200
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Fax | 517-548-9268
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CINDY ROOD
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Credential |
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Telephone | 517-548-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704242410
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License Number State | MI
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