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General NPI Number Information
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NPI Number | 1962530394
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Entity Type | Individual
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Provider Name | PENELOPE K KNAPP MD
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 9TH ST SUITE 151
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City | SACRAMENTO
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State | CA
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Zip | 95814-6404
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Country | US
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Telephone | 916-654-2309
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Fax |
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Provider Business Mailing Address
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Address Line | 22657 SYLVAN WAY
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City | MONTE RIO
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State | CA
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Zip | 95462-9797
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Country | US
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Telephone | 916-799-5341
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Fax | 707-922-0078
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | G49384
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License Number State | CA
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