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General NPI Number Information
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NPI Number | 1790295384
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Entity Type | Individual
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Provider Name | HADEN KNIGHT THOMAS DPT
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Gender | Female
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 5800 OLD PROVIDENCE RD
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City | CHARLOTTE
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State | NC
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Zip | 28226-6872
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Country | US
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Telephone | 704-869-2248
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Fax |
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Provider Business Mailing Address
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Address Line | 8622 TAMARRON DR
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City | CHARLOTTE
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State | NC
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Zip | 28277-1871
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Country | US
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Telephone | 630-715-9931
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P17080
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License Number State | NC
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