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General NPI Number Information
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NPI Number | 1750103511
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Entity Type | Organization
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Legal Business Name | KNIGHT OSTEOPATHIC HEALING INC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 3706 RUFFIN RD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1812
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Country | US
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Telephone | 619-964-1321
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Fax |
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Provider Business Mailing Address
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Address Line | 5815 YOKOHAMA CT
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City | SAN DIEGO
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State | CA
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Zip | 92120-3964
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Country | US
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Telephone | 619-964-1321
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT KNIGHT
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Credential | DO
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Telephone | 619-964-1321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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