Basic Information
Provider Information
NPI: 1003007535
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KNIGHT
FirstName: DANIEL
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7500 STATE RD
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452552439
CountryCode: US
TelephoneNumber: 5136244668
FaxNumber:  
Practice Location
Address1: 7500 STATE RD
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452552439
CountryCode: US
TelephoneNumber: 5136244668
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/08/2007
LastUpdateDate: 02/23/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X03-2-27990OHY Pharmacy Service ProvidersPharmacist 

No ID Information.


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