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General NPI Number Information
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NPI Number | 1336331123
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Entity Type | Organization
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Legal Business Name | HOWARD R KNOHL MD INC
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 12235 BEACH BLVD STE 110
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City | STANTON
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State | CA
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Zip | 90680-3939
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Country | US
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Telephone | 714-898-7828
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Fax | 714-892-8863
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Provider Business Mailing Address
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Address Line | 12235 BEACH BLVD STE 110
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City | STANTON
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State | CA
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Zip | 90680-3939
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Country | US
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Telephone | 714-898-7828
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Fax | 714-892-8863
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | HOWARD R KNOHL
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Credential | MD
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Telephone | 714-898-7828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G16790
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License Number State | CA
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