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General NPI Number Information
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NPI Number | 1184069742
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Entity Type | Individual
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Provider Name | CORINNE ARRINGTON WATSON MD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 1095 NW SAINT LUCIE WEST BLVD STE 106
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-1719
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Country | US
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Telephone | 772-785-5505
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Fax | 772-785-5599
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Provider Business Mailing Address
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Address Line | PO BOX 417
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City | STUART
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State | FL
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Zip | 34995-0417
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Country | US
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Telephone | 772-223-2832
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Fax | 772-223-5653
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2016-01559
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME132785
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 192449
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License Number State | NC
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