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General NPI Number Information
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NPI Number | 1427696863
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Entity Type | Organization
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Legal Business Name | KNIGHT CHIROPRACTIC & FUNCTIONAL HEALTH PC
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 1405 EAGLE RIDGE RD STE 2
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City | LE CLAIRE
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State | IA
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Zip | 52753-9382
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Country | US
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Telephone | 563-212-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 EAGLE RIDGE RD STE 2
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City | LE CLAIRE
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State | IA
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Zip | 52753-9382
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Country | US
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Telephone | 563-212-5858
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZACHARY MICHAEL KNIGHT
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Credential | DC
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Telephone | 563-212-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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