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General NPI Number Information
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NPI Number | 1518691484
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Entity Type | Organization
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Legal Business Name | ANDERSON KNAFO CLINIC PLLC
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 1911 BAGBY ST
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City | HOUSTON
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State | TX
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Zip | 77002-8594
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Country | US
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Telephone | 713-795-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 BAGBY ST
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City | HOUSTON
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State | TX
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Zip | 77002-8594
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Country | US
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Telephone | 713-795-4884
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH KNAFO
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Credential | MD
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Telephone | 619-782-2781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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