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General NPI Number Information
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NPI Number | 1780903393
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Entity Type | Individual
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Provider Name | TAMI KNIGHT LAPC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 1105 SOUTH MAIN STREET
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City | CLEARFIELD
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State | UT
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Zip | 84015
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Country | US
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Telephone | 801-668-0121
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Fax | 801-416-0862
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Provider Business Mailing Address
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Address Line | 442 E 2050 N
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City | NORTH OGDEN
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State | UT
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Zip | 84414-3018
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Country | US
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Telephone | 801-668-0121
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6988518-6009
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License Number State | UT
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