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General NPI Number Information
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NPI Number | 1306531827
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Entity Type | Individual
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Provider Name | KAITLIN DEAN KNIGHT-DUGGAN PA
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Gender | Female
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1 RICHLAND MEDICAL PARK DR STE 100
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City | COLUMBIA
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State | SC
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Zip | 29203-6834
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Country | US
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Telephone | 803-434-6095
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Fax | 803-758-0120
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVENUE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-522-8603
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4868
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License Number State | SC
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