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General NPI Number Information
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NPI Number | 1811203649
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Entity Type | Individual
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Provider Name | CAROL ANN KNIGHT LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 4301 32ND ST W STE C2
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City | BRADENTON
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State | FL
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Zip | 34205-2748
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Country | US
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Telephone | 941-776-1042
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Fax | 941-776-1042
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Provider Business Mailing Address
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Address Line | 11504 28TH STREET CIR E
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City | PARRISH
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State | FL
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Zip | 34219-8987
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Country | US
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Telephone | 941-776-1042
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH2204
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License Number State | FL
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