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General NPI Number Information
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NPI Number | 1225398811
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Entity Type | Organization
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Legal Business Name | J. MICHAEL WATTS
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 03/09/2024
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Provider Practice Location Address
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Address Line | 95 WALL ST
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City | ALBERTVILLE
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State | AL
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Zip | 35951-7392
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Country | US
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Telephone | 256-878-3999
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Fax | 256-878-3779
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Provider Business Mailing Address
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Address Line | PO BOX 1845
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City | ALBERTVILLE
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State | AL
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Zip | 35950-0030
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Country | US
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Telephone | 256-878-3999
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Fax | 256-878-3779
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TANYA WATTS
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Credential |
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Telephone | 205-617-7088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | DO.449
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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