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General NPI Number Information
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NPI Number | 1871584375
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Entity Type | Individual
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Provider Name | DOUGLAS J MCKNIGHT PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | HHC 2X UNIT #15077 BOX 703
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City | APO
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State | AP
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Zip | 96224
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Country | US
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Telephone | 11-339-6059
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Fax |
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Provider Business Mailing Address
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Address Line | HHC 2X UNIT #15077 BOX 703
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City | APO
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State | AP
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Zip | 96224
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Country | US
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Telephone | 11-339-6059
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PAO1952
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License Number State | TX
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