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General NPI Number Information
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NPI Number | 1629182373
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Entity Type | Individual
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Provider Name | WILLIAM KENT KNIGHT LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3404 W ILLINOIS AVE SUITE 1
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City | MIDLAND
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State | TX
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Zip | 79703-5632
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Country | US
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Telephone | 432-697-8222
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Fax | 432-697-0561
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Provider Business Mailing Address
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Address Line | 3318 NEELY AVE
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City | MIDLAND
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State | TX
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Zip | 79707-5809
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Country | US
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Telephone | 432-520-6483
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Fax | 432-697-0561
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 29057
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License Number State | TX
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