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General NPI Number Information
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NPI Number | 1437415353
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Entity Type | Individual
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Provider Name | MELISSA LYNNE KNIGHT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | DEPT 0861
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City | DENVER
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State | CO
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Zip | 80256-0882
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Country | US
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Telephone | 970-298-1977
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Fax |
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Provider Business Mailing Address
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Address Line | 2635 N 7TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8209
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Country | US
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Telephone | 970-244-2551
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 54850
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License Number State | CO
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