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General NPI Number Information
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NPI Number | 1588612659
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Entity Type | Individual
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Provider Name | JULIE MOYER KNOWLES EDD,PT,ATC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 216 LANTANA DR LANTANA SQUARE
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City | HOCKESSIN
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State | DE
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Zip | 19707-8805
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Country | US
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Telephone | 302-239-2800
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Fax | 302-239-7500
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Provider Business Mailing Address
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Address Line | 216 LANTANA DR LANTANA SQUARE
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City | HOCKESSIN
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State | DE
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Zip | 19707-8805
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Country | US
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Telephone | 302-239-2800
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Fax | 302-239-7500
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J1-0000360
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | J3-0000030
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License Number State | DE
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