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General NPI Number Information
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NPI Number | 1982658332
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Entity Type | Individual
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Provider Name | MAX KNOWLES A.P.,D.O.M.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 17901 NW 5TH ST SUITE 203
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2810
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Country | US
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Telephone | 954-443-1058
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Fax | 954-443-7990
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Provider Business Mailing Address
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Address Line | PO BOX 278195
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City | MIRAMAR
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State | FL
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Zip | 33027-8195
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Country | US
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Telephone | 954-443-1058
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Fax | 954-430-5852
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP841
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License Number State | FL
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