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General NPI Number Information
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NPI Number | 1346378064
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Entity Type | Individual
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Provider Name | MARINA KNIGHT M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1450 14TH AVE S
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City | NASHVILLE
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State | TN
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Zip | 37212-3005
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Country | US
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Telephone | 615-460-1257
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Fax | 615-298-6657
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Provider Business Mailing Address
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Address Line | 727 BELL RD APT 121
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City | ANTIOCH
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State | TN
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Zip | 37013-8007
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Country | US
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Telephone | 954-560-2135
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Fax | 615-298-6657
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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