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General NPI Number Information
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NPI Number | 1255589073
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Entity Type | Organization
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Legal Business Name | D PAUL KNAPP
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 1516 MAIN ST
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City | RAMONA
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State | CA
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Zip | 92065-5242
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Country | US
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Telephone | 760-789-6434
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Fax | 760-788-1291
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Provider Business Mailing Address
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Address Line | 718 S 4TH ST
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City | EL CENTRO
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State | CA
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Zip | 92243-3319
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Country | US
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Telephone | 760-337-8500
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Fax | 760-337-8572
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID PAUL KNAPP
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Credential | MD
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Telephone | 858-273-5423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | G33943
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License Number State | CA
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