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NPI 1841444379

NPI 1841444379 : JOHN T. KNIGHT, MD, INC. : BEVERLY HILLS, CA

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General NPI Number Information
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    NPI Number           |    1841444379
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHN T. KNIGHT, MD, INC. 
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Dates
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    Enumeration Date     |    11/11/2008
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    Last Update Date     |    02/28/2012
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Provider Practice Location Address
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    Address Line         |    8750 WILSHIRE BLVD 350
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    City                 |    BEVERLY HILLS
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    State                |    CA
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    Zip                  |    90211-2703
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    Country              |    US
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    Telephone            |    310-684-3989
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    Fax                  |    310-358-9225
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Provider Business Mailing Address
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    Address Line         |    8750 WILSHIRE BLVD STE 350 
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    City                 |    BEVERLY HILLS
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    State                |    CA
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    Zip                  |    90211-2700
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    Country              |    US
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    Telephone            |    310-684-3989
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    Fax                  |    310-358-9225
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JOHN T KNIGHT 
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    Credential           |    
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    Telephone            |    310-684-3989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    A50533
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    License Number State |    CA
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