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General NPI Number Information
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NPI Number | 1457791782
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Entity Type | Individual
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Provider Name | SHANNON MARGARET KNIGHT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 221 WINDERMERE BLVD
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3538
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Country | US
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Telephone | 318-427-3305
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Fax | 318-427-3305
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Provider Business Mailing Address
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Address Line | 137 RON MAR DR
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City | PINEVILLE
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State | LA
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Zip | 71360-4566
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Country | US
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Telephone | 318-229-6553
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP07381
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License Number State | LA
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