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General NPI Number Information
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NPI Number | 1699325456
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Entity Type | Individual
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Provider Name | HAYDEN ALAN KNIGHT PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 854 HURST ST STE 108
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City | CENTER
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State | TX
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Zip | 75935-3440
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Country | US
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Telephone | 936-598-3832
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 FOUNTAINBLEAU RD
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City | KEITHVILLE
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State | LA
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Zip | 71047-6552
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Country | US
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Telephone | 318-465-2806
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10518R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3124697
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License Number State | TX
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