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General NPI Number Information
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NPI Number | 1316658750
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Entity Type | Organization
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Legal Business Name | KNOX WOODWARD, PLLC
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 02/26/2023
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Provider Practice Location Address
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Address Line | 2810 W CHARLESTON BLVD STE 46
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City | LAS VEGAS
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State | NV
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Zip | 89102-1905
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Country | US
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Telephone | 702-666-8669
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Fax |
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Provider Business Mailing Address
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Address Line | 8750 DESERT BROOK CIR
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City | LAS VEGAS
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State | NV
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Zip | 89149-4143
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JULIE KNOX-WOODWARD
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Credential |
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Telephone | 702-666-8669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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