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General NPI Number Information
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NPI Number | 1811646276
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Entity Type | Individual
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Provider Name | ALYNNA KNAUB DO
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 615 N BONITA AVE # A
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City | PANAMA CITY
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State | FL
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Zip | 32401-3623
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Country | US
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Telephone | 817-901-8213
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 E 3RD ST
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City | PANAMA CITY
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State | FL
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Zip | 32401-3740
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Country | US
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Telephone | 817-901-8213
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS22288
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License Number State | FL
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