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General NPI Number Information
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NPI Number | 1518316348
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Entity Type | Individual
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Provider Name | DAVID KNOWLES MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 7710 MERCY RD STE 2000
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City | OMAHA
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State | NE
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Zip | 68124-2323
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Country | US
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Telephone | 402-717-0820
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Fax | 402-717-6061
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Provider Business Mailing Address
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Address Line | 3220 FARNAM ST APT 2603
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City | OMAHA
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State | NE
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Zip | 68131-3518
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Country | US
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Telephone | 937-689-3732
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 34874
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License Number State | NE
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