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General NPI Number Information
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NPI Number | 1174889661
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Entity Type | Individual
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Provider Name | JOSEPH THOMAS KNAPPER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 6401 FRANCE AVE S
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City | EDINA
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State | MN
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Zip | 55435-2104
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Country | US
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Telephone | 952-924-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6112 ZENITH AVE S
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City | EDINA
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State | MN
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Zip | 55410-2838
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Country | US
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Telephone | 218-929-1537
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036.140946
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 67954
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License Number State | MN
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