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General NPI Number Information
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NPI Number | 1497295570
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Entity Type | Organization
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Legal Business Name | VICTORIA KNOPP, INC.
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 11701 150TH CT N
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City | JUPITER
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State | FL
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Zip | 33478-3518
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Country | US
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Telephone | 561-427-8409
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Fax | 561-744-3523
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Provider Business Mailing Address
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Address Line | 11701 150TH CT N
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City | JUPITER
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State | FL
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Zip | 33478-3518
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Country | US
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Telephone |
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Fax | 561-744-3523
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | VICTORIA GALLEGO KNOPP
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Credential |
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Telephone | 561-427-8409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | OT3489
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License Number State | FL
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