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General NPI Number Information
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NPI Number | 1881687283
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Entity Type | Individual
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Provider Name | JEFFREY COLLIER KNORR DDS, MSBA
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 35050 23 MILE RD SUITE C
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City | NEW BALTIMORE
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State | MI
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Zip | 48047-3606
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Country | US
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Telephone | 586-725-2400
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Fax | 586-725-2405
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Provider Business Mailing Address
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Address Line | 50150 HEDGEWAY DR
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City | SHELBY TWP
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State | MI
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Zip | 48317-1829
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Country | US
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Telephone | 586-242-5721
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2901013088
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License Number State | MI
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