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General NPI Number Information
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NPI Number | 1407014780
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Entity Type | Individual
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Provider Name | ANGELA MARIE KNIGHT LPN
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Gender | Female
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 2353 PLAZA AVE NE APT D
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City | WARREN
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State | OH
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Zip | 44483-3560
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Country | US
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Telephone | 330-392-3941
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Fax |
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Provider Business Mailing Address
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Address Line | 1960 OVERLAND AVE NE
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City | WARREN
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State | OH
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Zip | 44483-2809
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Country | US
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Telephone | 330-372-6944
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN 139683-M-IV
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License Number State | OH
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