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General NPI Number Information
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NPI Number | 1164450706
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Entity Type | Individual
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Provider Name | PATRICIA N WATSON BA,MSPT
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 5000 W 95TH ST SUITE 100
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207-3364
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Country | US
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Telephone | 913-438-8000
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Fax | 913-438-8008
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Provider Business Mailing Address
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Address Line | 5000 W 95TH ST SUITE 100
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207-3364
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Country | US
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Telephone | 913-438-8000
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Fax | 913-438-8008
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-03119
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License Number State | KS
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