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General NPI Number Information
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NPI Number | 1801952460
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Entity Type | Individual
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Provider Name | PENELOPE S KNIGHT L.I.S.W. AND A.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25901 EMERY RD #108
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City | CLEVELAND
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State | OH
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Zip | 44128-5774
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Country | US
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Telephone | 440-429-3027
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Fax | 216-291-0681
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Provider Business Mailing Address
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Address Line | 4405 MONTAGANO BLVD
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City | SOUTH EUCLID
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State | OH
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Zip | 44121-3544
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Country | US
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Telephone | 216-291-0681
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Fax | 216-291-0681
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0006030
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License Number State | OH
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