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General NPI Number Information
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NPI Number | 1548313166
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Entity Type | Individual
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Provider Name | SANDRA LEA KNIGHTON CDP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 02/09/2008
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Provider Practice Location Address
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Address Line | 2635 W DESCHUTES AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-3004
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Country | US
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Telephone | 509-735-2704
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Fax |
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Provider Business Mailing Address
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Address Line | 14709 E RUPPERT RD
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City | BENTON CITY
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State | WA
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Zip | 99320-8759
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Country | US
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Telephone | 509-588-3486
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | RC00034331
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP00003050
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | HP10001250
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License Number State | WA
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