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General NPI Number Information
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NPI Number | 1811145899
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Entity Type | Individual
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Provider Name | TAMMY JO KNIGHT DPT
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 113 E CENTER ST
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City | ROGERSVILLE
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State | MO
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Zip | 65742-9703
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Country | US
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Telephone | 417-753-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 2044 S GOLDEN AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7624
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Country | US
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Telephone | 417-773-5398
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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 | 2008025213
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License Number State | MO
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