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General NPI Number Information
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NPI Number | 1134245343
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Entity Type | Individual
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Provider Name | BETTY MARTIN-WATSON ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 975 NC HIGHWAY 66 S
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City | KERNERSVILLE
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State | NC
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Zip | 27284-3132
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Country | US
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Telephone | 336-883-0029
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Fax | 336-967-6685
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Provider Business Mailing Address
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Address Line | 645 N MAIN ST
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City | HIGH POINT
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State | NC
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Zip | 27260-5017
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Country | US
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Telephone | 336-883-0029
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Fax | 336-883-0867
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 075746
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 900278
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 102293
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 900278
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License Number State | NC
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