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General NPI Number Information
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NPI Number | 1558244731
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Entity Type | Individual
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Provider Name | SHANIQUE KNOTT DNP, APRN,PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 2351 W ATLANTIC BLVD # 668394
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City | POMPANO BEACH
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State | FL
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Zip | 33069-2651
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Country | US
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Telephone | 954-625-4617
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 668394
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City | POMPANO BEACH
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State | FL
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Zip | 33066-8394
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Country | US
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Telephone | 954-625-4617
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11039270
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License Number State | FL
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