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General NPI Number Information
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NPI Number | 1245551373
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Entity Type | Individual
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Provider Name | DEBRA M MCKNIGHT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 4800 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-5609
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Country | US
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Telephone | 727-847-0069
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Fax | 727-849-3780
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Provider Business Mailing Address
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Address Line | 39820 US HIGHWAY 19 N LOT 18
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-8347
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Country | US
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Telephone | 585-520-5689
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 13705
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 080168
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 078515
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License Number State | NY
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