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General NPI Number Information
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NPI Number | 1013927250
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Entity Type | Individual
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Provider Name | JOHN H WATT RPH
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1002 W 10TH ST INPATIENT PHARMACY
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2879
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Country | US
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Telephone | 317-630-6708
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Fax | 317-630-8617
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Provider Business Mailing Address
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Address Line | 10837 STABLE DRIVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-8846
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Country | US
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Telephone | 317-894-8581
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Fax | 317-894-8581
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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 | 26011205
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License Number State | IN
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