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General NPI Number Information
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NPI Number | 1235870692
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Entity Type | Individual
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Provider Name | KATHRYN WATSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 22 CENTURY BLVD STE 220
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City | NASHVILLE
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State | TN
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Zip | 37214-3787
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Country | US
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Telephone | 470-453-7728
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 OAK HILL RD
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-5022
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Country | US
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Telephone | 404-725-4617
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW009100
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License Number State | GA
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