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NPI Code Detail

MEDICARE: MRS. LILIYA KNOP

MEDICARE: MRS. LILIYA KNOP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse554996CA

General Provider Information

NPI Number : 1417003765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LILIYA KNOP
Provider Business Mailing Address
First Line : 4496 CAMSTOCK CT
Second Line :
City : CONCORD
State : CA
Zip : 94521-4502
Country : US
Telephone Number : 925-680-8768
Fax Number :
Provider Business Practice Location Address
First Line : 280 17TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-4124
Country : US
Telephone Number : 510-238-5020
Fax Number : 510-352-9981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. LILIYA KNOP ” Practice Location

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