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General NPI Number Information
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NPI Number | 1417937418
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Entity Type | Individual
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Provider Name | LANCE H KNECHT MD
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 1301 PUNCHBOWL ST
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City | HONOLULU
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State | HI
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Zip | 96813-2402
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Country | US
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Telephone | 808-691-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1039
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City | WATKINSVILLE
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State | GA
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Zip | 30677-0023
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Country | US
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Telephone | 770-601-2252
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | TP521
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 056313
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD14398
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License Number State | HI
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