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General NPI Number Information
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NPI Number | 1285671354
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Entity Type | Individual
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Provider Name | ROBERT KNIGHT MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 501 REDMOND RD NW ANESTHESIOLOGY DEPARTMENT
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City | ROME
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State | GA
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Zip | 30165-1415
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Country | US
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Telephone | 706-291-0298
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Fax |
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Provider Business Mailing Address
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Address Line | 503 MOUNT ALTO RD SW
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City | ROME
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State | GA
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Zip | 30165-4315
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Country | US
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Telephone | 706-234-3776
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 028178
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License Number State | GA
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