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General NPI Number Information
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NPI Number | 1316712433
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Entity Type | Individual
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Provider Name | ZACHARY KNOEFERL PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 8007 AUBURN RD
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City | CONCORD TOWNSHIP
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State | OH
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Zip | 44077-9621
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Country | US
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Telephone | 440-375-5520
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Fax |
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Provider Business Mailing Address
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Address Line | 261 E OVERLOOK DR
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City | EASTLAKE
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State | OH
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Zip | 44095-1110
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Country | US
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Telephone | 913-579-1407
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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 | 50.008523RX
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License Number State | OH
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