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General NPI Number Information
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NPI Number | 1619006996
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Entity Type | Individual
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Provider Name | KAREN P. KNOWLES M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 6408 BANNINGTON RD
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City | CHARLOTTE
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State | NC
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Zip | 28226-1358
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Country | US
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Telephone | 704-247-9187
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 61
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City | NOLENSVILLE
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State | TN
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Zip | 37135-0061
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 27285
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 27285
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License Number State | AL
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