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General NPI Number Information
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NPI Number | 1306394648
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Entity Type | Organization
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Legal Business Name | KNIPEL ASSOCIATES LLC
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 490 S 69TH ST
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City | UPPER DARBY
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State | PA
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Zip | 19082-4901
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Country | US
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Telephone | 610-623-0411
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Fax | 610-284-4738
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Provider Business Mailing Address
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Address Line | 411 S FEATHERING LN
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City | MEDIA
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State | PA
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Zip | 19063-4546
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Country | US
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Telephone | 610-566-9151
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL EDWARD KNIPEL
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Credential | O.D.
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Telephone | 610-566-9151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG000961
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License Number State | PA
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