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General NPI Number Information
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NPI Number | 1942813811
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Entity Type | Individual
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Provider Name | MICHELLE DENISE KNIGHT LPC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 2201 S W S YOUNG DR STE 105C
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City | KILLEEN
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State | TX
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Zip | 76543-5350
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Country | US
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Telephone | 254-400-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 4206 CAPRI DR
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City | KILLEEN
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State | TX
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Zip | 76549-4595
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Country | US
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Telephone | 254-400-7070
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80614
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License Number State | TX
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