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General NPI Number Information
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NPI Number | 1578795795
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Entity Type | Individual
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Provider Name | AMANDA KNOTT PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | CMR 402 BOX 341
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City | APO
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State | AE
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Zip | 09180-0004
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Country | US
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Telephone | 608-216-3284
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Fax |
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Provider Business Mailing Address
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Address Line | 300 STONEHEATH END
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City | COTTAGE GROVE
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State | WI
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Zip | 53527-9695
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Country | US
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Telephone |
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 15710-40
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 15710-40
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License Number State | WI
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