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General NPI Number Information
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NPI Number | 1184733834
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Entity Type | Individual
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Provider Name | JAMES THOMAS WATKINS PT
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11201 BENTON ST
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City | LOMA LINDA
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State | CA
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Zip | 92357-1000
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Country | US
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Telephone | 909-825-7084
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Fax | 909-422-3086
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Provider Business Mailing Address
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Address Line | 25888 CHULA VISTA ST
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City | REDLANDS
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State | CA
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Zip | 92373-8402
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Country | US
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Telephone | 909-478-6864
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Fax | 909-478-6864
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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 | PT24575
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License Number State | CA
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