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General NPI Number Information
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NPI Number | 1902077605
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Entity Type | Organization
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Legal Business Name | MATTHEW MCKNIGHT DPM, PC
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 202 4TH AVE
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City | GRINNELL
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State | IA
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Zip | 50112-1898
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Country | US
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Telephone | 641-236-2008
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Fax | 641-236-2031
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Provider Business Mailing Address
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Address Line | 202 4TH AVE
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City | GRINNELL
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State | IA
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Zip | 50112-1898
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Country | US
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Telephone | 641-236-2008
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Fax | 641-236-2031
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MR. MATTHEW C MCKNIGHT
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Credential | DPM
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Telephone | 641-236-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 00737
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License Number State | IA
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