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General NPI Number Information
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NPI Number | 1508481367
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Entity Type | Individual
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Provider Name | AMY KNOWLES
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Gender | Female
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 15502 SARANAC DR
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City | WHITTIER
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State | CA
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Zip | 90604-3221
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Country | US
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Telephone | 714-930-5625
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Fax |
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Provider Business Mailing Address
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Address Line | 15502 SARANAC DR
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City | WHITTIER
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State | CA
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Zip | 90604-3221
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Country | US
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Telephone | 714-930-5625
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 21162
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License Number State | CA
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