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General NPI Number Information
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NPI Number | 1043295405
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Entity Type | Individual
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Provider Name | KAREN ADRIENNE WATTS FNP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 3970 W 24TH ST STE 214
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City | YUMA
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State | AZ
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Zip | 85364-9263
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Country | US
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Telephone | 928-341-0058
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Fax | 928-341-0138
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Provider Business Mailing Address
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Address Line | 340 W 32ND ST #378
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City | YUMA
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State | AZ
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Zip | 85364-8128
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Country | US
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Telephone | 928-341-0058
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Fax | 928-341-0138
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN059345
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License Number State | AZ
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