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General NPI Number Information
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NPI Number | 1720643125
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Entity Type | Individual
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Provider Name | ALLIE KNIGHT APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 3801 S NATIONAL AVE STE G800
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City | SPRINGFIELD
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State | MO
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Zip | 65807-6117
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Country | US
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Telephone | 417-269-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 4532 S HEMLOCK AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65810-1155
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Country | US
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Telephone |
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 3016033
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 2024031079
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.025859
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License Number State | OH
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