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General NPI Number Information
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NPI Number | 1750021424
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Entity Type | Organization
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Legal Business Name | KNIGHTS HEALTHCARE AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 08/20/2023
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Provider Practice Location Address
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Address Line | 38152 MEDICAL CENTER AVE
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-1380
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Country | US
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Telephone | 863-510-6682
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Fax |
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Provider Business Mailing Address
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Address Line | 38152 MEDICAL CENTER AVE
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-1380
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Country | US
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Telephone | 863-510-6682
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMELIA LAZAYRE KNIGHT
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Credential | DNP, APRN, FNP-C
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Telephone | 863-510-6682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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