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General NPI Number Information
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NPI Number | 1003115932
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Entity Type | Individual
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Provider Name | STEVEN WATKINS R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 1013 PORTERS NECK RD
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City | WILMINGTON
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State | NC
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Zip | 28411
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Country | US
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Telephone | 910-676-0407
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Fax |
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Provider Business Mailing Address
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Address Line | 709 N 4TH ST UNIT 406
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City | WILMINGTON
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State | NC
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Zip | 28401-3476
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12707
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License Number State | NC
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