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General NPI Number Information
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NPI Number | 1306013321
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Entity Type | Individual
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Provider Name | SUSAN GEORGE KNOCHE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 295A MIDLAND PKWY STE 140
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5901
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Country | US
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Telephone | 843-695-2727
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Fax | 843-695-2728
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Provider Business Mailing Address
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Address Line | 295A MIDLAND PKWY STE 140
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5901
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Country | US
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Telephone | 843-695-2727
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Fax | 843-695-2728
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 82253
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 82253
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 4301108743
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301108743
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License Number State | MI
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