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General NPI Number Information
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NPI Number | 1174146252
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Entity Type | Individual
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Provider Name | ANDREW DAWSON WATSON OTR
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Gender | Male
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 9800 OUTER LINCOLN AVE
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City | NEWBURGH
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State | IN
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Zip | 47630-2440
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Country | US
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Telephone | 812-801-4358
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 MESKER PARK DR
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City | EVANSVILLE
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State | IN
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Zip | 47720-8221
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Country | US
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Telephone | 812-457-8882
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31005379A
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License Number State | IN
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