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General NPI Number Information
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NPI Number | 1952982555
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Entity Type | Individual
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Provider Name | ALEXANDRIA ISABEL KNECHT DO
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Gender | Female
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26506-1200
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Country | US
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Telephone | 304-293-3092
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9235
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City | MORGANTOWN
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State | WV
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Zip | 26506-9235
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Country | US
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Telephone | 304-293-3092
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LL87673
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License Number State | SC
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Taxonomy #2
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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 #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ED1184
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License Number State | WV
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