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General NPI Number Information
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NPI Number | 1639437627
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Entity Type | Individual
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Provider Name | BRETT MCKNIGHT M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 10/05/2018
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Provider Practice Location Address
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Address Line | 515 N STATE ROUTE 291
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City | LIBERTY
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State | MO
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Zip | 64068-1045
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Country | US
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Telephone | 816-781-2900
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Fax | 816-781-1370
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Provider Business Mailing Address
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Address Line | 515 N STATE ROUTE 291
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City | LIBERTY
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State | MO
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Zip | 64068-1045
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Country | US
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Telephone | 816-781-2900
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Fax | 816-781-1370
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0439860
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2017010591
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License Number State | MO
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