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General NPI Number Information
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NPI Number | 1821962630
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Entity Type | Individual
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Provider Name | NATASHA KNIGHT
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Gender | Female
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 4 DAVIS RD E
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City | OLD LYME
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State | CT
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Zip | 06371-1447
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Country | US
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Telephone | 860-531-9621
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Fax |
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Provider Business Mailing Address
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Address Line | 168 CAMP BETHEL RD
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City | HADDAM
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State | CT
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Zip | 06438-1343
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 2238
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License Number State | CT
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