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General NPI Number Information
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NPI Number | 1194678367
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Entity Type | Individual
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Provider Name | WATSON ALLEN EDWARDS RN
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Gender | Male
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 434 PEPPERS FRY RD NW
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-5780
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Country | US
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Telephone | 540-382-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 6718 BRADLEY RD
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City | RADFORD
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State | VA
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Zip | 24141-8678
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Country | US
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Telephone | 540-922-2717
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001169217
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License Number State | VA
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