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General NPI Number Information
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NPI Number | 1235371857
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Entity Type | Individual
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Provider Name | THOMAS PATON KNECHT MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 141 LYNCH CREEK WAY SUITE A
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City | PETALUMA
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State | CA
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Zip | 94954-2341
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Country | US
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Telephone | 707-762-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 W BELLWOOD LN SUITE 160
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City | MURRAY
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State | UT
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Zip | 84123-7964
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Country | US
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Telephone | 801-746-0776
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | G077982
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License Number State | CA
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