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General NPI Number Information
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NPI Number | 1659464840
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Entity Type | Individual
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Provider Name | ELLEN W MCKNIGHT MD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 3298 SUMMIT BOULEVARD SUITE 9
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City | PENSACOLA
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State | FL
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Zip | 32504
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Country | US
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Telephone | 850-438-0044
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Fax | 866-941-4757
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Provider Business Mailing Address
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Address Line | 3298 SUMMIT BOULEVARD SUITE 9
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City | PENSACOLA
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State | FL
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Zip | 32504
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Country | US
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Telephone | 850-438-0044
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Fax | 866-941-4757
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME61717
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License Number State | FL
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