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General NPI Number Information
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NPI Number | 1235533852
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Entity Type | Organization
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Legal Business Name | ALBERT KNAPP & ASSOCIATES A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 1444 AVIATION BLVD SUITE 102
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City | REDONDO BEACH
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State | CA
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Zip | 90278-4001
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Country | US
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Telephone | 310-363-0825
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 N SEPULVEDA BLVD 286
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-2725
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Country | US
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Telephone | 310-363-0825
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERT ADAM KNAPP JR.
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Credential | PSY.D, BCBA-D
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Telephone | 310-363-0825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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