Provider Information for 1942556154
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Dr. NICOLE KNOX
Sex: Female
NPI: 1942556154
Last Updated: 2022-03-21
Certification Date: 2022-03-21
Certification Date: 2022-03-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1942556154 | ||||||||
| Enumeration Date | 2012-07-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2181 ORANGE AVE E TALLAHASSEE, FL 32311-6144 United States Phone: 850-513-7058 | Fax: | ||||||||
| Primary Practice Address | 2181 ORANGE AVE E TALLAHASSEE, FL 32311-6144 United States Phone: 850-513-7058 | Fax: | ||||||||
| Secondary Practice Address(es) | 3700 W KILGORE AVE | ||||||||
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