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General NPI Number Information
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NPI Number | 1194969840
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Entity Type | Individual
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Provider Name | VALERIE VASICK WATTERSON PT
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Gender | Female
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Dates
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Enumeration Date | 04/25/2009
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Last Update Date | 04/25/2009
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Provider Practice Location Address
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Address Line | 2001 W ORANGE GROVE RD SUITE 114
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City | TUCSON
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State | AZ
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Zip | 85704-1139
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Country | US
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Telephone | 520-297-8842
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Fax | 520-297-6986
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Provider Business Mailing Address
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Address Line | 9225 E TANQUE VERDE RD #18103
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City | TUCSON
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State | AZ
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Zip | 85749-8718
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Country | US
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Telephone | 509-607-0157
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Fax | 520-297-6986
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 8399
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License Number State | AZ
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