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General NPI Number Information
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NPI Number | 1538426242
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Entity Type | Individual
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Provider Name | ROBERT JUSTIN KNOTTS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 90 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3412
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Country | US
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Telephone | 914-242-1370
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 3RD AVE APT 22A
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City | NEW YORK
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State | NY
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Zip | 10028-1977
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Country | US
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Telephone | 512-577-9041
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 279475
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 79050
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 279475
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License Number State | NY
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