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General NPI Number Information
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NPI Number | 1982349171
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Entity Type | Individual
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Provider Name | TARA LYNN KNAPP STNA
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Gender | Female
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 1474 GIBSON RD
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City | GOSHEN
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State | OH
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Zip | 45122-9727
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Country | US
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Telephone | 513-465-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1474 GIBSON RD
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City | GOSHEN
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State | OH
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Zip | 45122-9727
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Country | US
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Telephone | 513-465-1400
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 602299111220
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License Number State | OH
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