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General NPI Number Information
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NPI Number | 1811031081
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Entity Type | Organization
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Legal Business Name | KNOBLER INSTITUTE OF NEUROLOGIC DISEASE, PC
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 520 PINETOWN RD
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-2611
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Country | US
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Telephone | 215-643-9045
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Fax | 215-643-9049
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Provider Business Mailing Address
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Address Line | 520 PINETOWN RD
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-2611
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Country | US
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Telephone | 215-643-9045
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Fax | 215-643-9049
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ROBERT LEONARD KNOBLER
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Credential | MD, PHD
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Telephone | 215-643-9045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD031526E
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License Number State | PA
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