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General NPI Number Information
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NPI Number | 1881273886
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Entity Type | Individual
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Provider Name | RICHARD ALLAN KNECHT III
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Gender | Male
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 757 WESTWOOD PLZ
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City | LOS ANGELES
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State | CA
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Zip | 90095-8358
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Country | US
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Telephone | 801-787-0087
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Fax |
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Provider Business Mailing Address
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Address Line | 644 W NORTH TEMPLE APT 434
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-3791
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Country | US
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Telephone | 801-787-0087
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD61666429
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License Number State | WA
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