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General NPI Number Information
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NPI Number | 1407632268
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Entity Type | Organization
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Legal Business Name | KNIGHT THERAPY & CONSULTING
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 145 ALABAMA ST
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City | FERDINAND
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State | IN
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Zip | 47532-9783
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Country | US
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Telephone | 812-817-1312
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Fax |
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Provider Business Mailing Address
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Address Line | 235 N BURKHARDT RD # 1084
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City | EVANSVILLE
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State | IN
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Zip | 47715-2729
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Country | US
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Telephone | 727-717-2038
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON KNIGHT
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Credential |
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Telephone | 812-817-1312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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