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General NPI Number Information
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NPI Number | 1205922101
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Entity Type | Individual
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Provider Name | EVAN ALLAN KNAPP PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3417 GASTON AVE STE 815
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City | DALLAS
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State | TX
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Zip | 75246-2034
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Country | US
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Telephone | 214-824-8878
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Fax | 214-591-5949
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Provider Business Mailing Address
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Address Line | 3417 GASTON AVE STE 815
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City | DALLAS
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State | TX
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Zip | 75246-2034
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Country | US
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Telephone | 214-824-8878
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Fax | 214-291-5949
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 24172
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 24172
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 24172
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 24172
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License Number State | TX
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