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General NPI Number Information
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NPI Number | 1467724955
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Entity Type | Individual
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Provider Name | CANDI LEA KNOX NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 01/31/2012
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 81 HILLCREST DR STE 2200
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-2605
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Country | US
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Telephone | 814-938-3343
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Fax | 814-938-3369
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Provider Business Mailing Address
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Address Line | 81 HILLCREST DR STE 2200
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-2605
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Country | US
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Telephone | 814-938-3343
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Fax | 814-938-3369
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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 | 26NJ00361800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP012816
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License Number State | PA
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