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NPI 1669566642

NPI 1669566642 : LAURRIE ANN MURPHY KNIGHT M.D. : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1669566642
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    Entity Type          |    Individual 
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    Provider Name        |    LAURRIE ANN MURPHY KNIGHT M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2006
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    Last Update Date     |    07/14/2010
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Provider Practice Location Address
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    Address Line         |    4160 JOHN R ST SUITE 729
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48201-2020
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    Country              |    US
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    Telephone            |    313-831-8303
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    Fax                  |    313-831-8307
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Provider Business Mailing Address
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    Address Line         |    87 E CANFIELD ST SUITE 5500
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48201-1881
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    Country              |    US
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    Telephone            |    313-831-1955
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    Fax                  |    248-395-2241
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    4301059737
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    License Number State |    MI
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