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1528317203 NPI number — PAUL DANIEL KNABB PH.D.

NPI Number: 1528317203
Health Care Provider/Practitioner: PAUL DANIEL KNABB PH.D.

Information about “1528317203” NPI (PAUL DANIEL KNABB PH.D.) exists in 1528317203 in HTML format HTML  |  1528317203 in plain Text format TXT  |  1528317203 in PDF (Portable Document Format) PDF  |  1528317203 in an XML format XML  formats.

NPI Number : 1528317203 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528317203",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KNABB",
    "FirstName": "PAUL",
    "MiddleName": "DANIEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9771 RIDDLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32220-1919",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-383-7352",
    "MailingAddressFaxNumber": "904-404-7740",
    "FirstLinePracticeLocationAddress": "6620 SOUTHPOINT DR S STE 450F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32216-0912",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-383-7352",
    "PracticeLocationAddressFaxNumber": "904-404-7740",
    "EnumerationDate": "09/10/2012",
    "LastUpdateDate": "06/17/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TF0200X",
          "TaxonomyName": "Forensic Psychologist",
          "LicenseNumber": "PY8463",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC1900X",
          "TaxonomyName": "Counseling Psychologist",
          "LicenseNumber": "PY8463",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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