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General NPI Number Information
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NPI Number | 1922146901
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Entity Type | Individual
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Provider Name | RONALD KNOX O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 1000 WASHINGTON ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4337
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Country | US
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Telephone | 315-786-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 433 LACHENAUER DR
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City | WATERTOWN
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State | NY
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Zip | 13601-4218
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Country | US
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Telephone | 315-788-2223
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV004144
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License Number State | NY
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