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NPI 1013106152

NPI 1013106152 : AMBER WATTS FISH PHARM. D. : CORPUS CHRISTI, TX

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General NPI Number Information
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    NPI Number           |    1013106152
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    Entity Type          |    Individual 
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    Provider Name        |    AMBER WATTS FISH PHARM. D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/15/2007
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    Last Update Date     |    02/21/2025
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Provider Practice Location Address
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    Address Line         |    537 ATLANTIC ST 
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78404-2920
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    Country              |    US
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    Telephone            |    828-612-6231
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    537 ATLANTIC ST 
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78404-2920
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    Country              |    US
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    Telephone            |    828-612-6231
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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       |    RPH023729
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    18992
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    3963
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    License Number State |    WY
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Taxonomy #4
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    0021748
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    License Number State |    CO
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Taxonomy #5
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    022176
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    License Number State |    LA
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Taxonomy #6
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    46748
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    License Number State |    TX
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