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General NPI Number Information
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NPI Number | 1962612994
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Entity Type | Individual
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Provider Name | RICHARD DAVID KNAPP D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2300 MAITLAND CENTER PKWY STE 230
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City | MAITLAND
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State | FL
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Zip | 32751-4129
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Country | US
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Telephone | 407-644-1165
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Fax | 407-644-6108
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Provider Business Mailing Address
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Address Line | 8700 PISA DR APT 9213
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City | ORLANDO
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State | FL
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Zip | 32810-2143
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Country | US
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Telephone | 407-718-8524
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Fax | 407-644-6108
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS 3953
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License Number State | FL
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