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General NPI Number Information
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NPI Number | 1851927628
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Entity Type | Individual
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Provider Name | KATHLEEN KNAUF ATC
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Gender | Female
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Dates
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Enumeration Date | 03/12/2020
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 2080 NJ 35 #1
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City | HOLMDEL
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State | NJ
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Zip | 07733
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Country | US
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Telephone | 732-241-3725
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Fax |
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Provider Business Mailing Address
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Address Line | 606 PHILADELPHIA BLVD
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City | SEA GIRT
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State | NJ
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Zip | 08750-2504
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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 | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 25MT00240700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00240700
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License Number State | NJ
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