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General NPI Number Information
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NPI Number | 1548252166
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Entity Type | Individual
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Provider Name | JOHN G KNECHT II DPM
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 1529 39TH ST
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City | GALVESTON
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State | TX
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Zip | 77550-6605
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Country | US
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Telephone | 409-762-6433
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Fax | 409-762-8245
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Provider Business Mailing Address
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Address Line | 1529 39TH ST
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City | GALVESTON
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State | TX
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Zip | 77550-6605
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Country | US
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Telephone | 409-762-6433
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Fax | 409-762-8245
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0451
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License Number State | TX
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