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General NPI Number Information
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NPI Number | 1104147693
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Entity Type | Organization
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Legal Business Name | DAVE WATSON & ASSOCIATES LLC
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1309 RIDGE RD STE 200
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City | ROCKWALL
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State | TX
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Zip | 75087-4206
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Country | US
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Telephone | 682-472-2367
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Fax | 888-311-7920
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Provider Business Mailing Address
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Address Line | 1309 RIDGE RD STE 200
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City | ROCKWALL
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State | TX
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Zip | 75087-4219
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Country | US
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Telephone | 682-472-2367
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Fax | 888-311-7920
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVE WATSON
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Credential |
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Telephone | 682-472-2367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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