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General NPI Number Information
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NPI Number | 1376738773
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Entity Type | Individual
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Provider Name | MARIA WINONA MCKNIGHT N.P.-C
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Gender | Female
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Dates
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Enumeration Date | 09/09/2007
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 1247 E ALLUVIAL AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93720-2686
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Country | US
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Telephone | 559-431-6226
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Fax | 559-440-9005
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Provider Business Mailing Address
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Address Line | 2625 E DIVISADERO ST
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City | FRESNO
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State | CA
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Zip | 93721-1431
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Country | US
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Telephone | 559-443-2682
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Fax | 559-443-2681
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN517445
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP9857
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License Number State | CA
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