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General NPI Number Information
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NPI Number | 1760745376
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Entity Type | Individual
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Provider Name | DAVID A. KNOREK M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 805 SIR THOMAS CT
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City | HARRISBURG
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State | PA
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Zip | 17109-4839
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Country | US
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Telephone | 717-782-5905
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Fax | 717-782-5908
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Provider Business Mailing Address
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Address Line | 805 SIR THOMAS CT FL 1
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City | HARRISBURG
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State | PA
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Zip | 17109-4839
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Country | US
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Telephone | 717-988-0020
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Fax | 717-703-5746
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MT200910
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT200910
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD460197
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License Number State | PA
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