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General NPI Number Information
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NPI Number | 1447863410
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Entity Type | Individual
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Provider Name | PATRICK SAMUEL KNIGHT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 6350 LAUREL CANYON BLVD STE 307
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3223
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Country | US
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Telephone | 818-762-7643
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Fax |
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Provider Business Mailing Address
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Address Line | 16057 BRYANT ST
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City | NORTH HILLS
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State | CA
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Zip | 91343-5734
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Country | US
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Telephone | 818-452-8602
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Fax | 818-762-7643
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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