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General NPI Number Information
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NPI Number | 1255227526
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Entity Type | Organization
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Legal Business Name | WATCH PIN CORP
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Dates
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Enumeration Date | 06/14/2025
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 4106 POMPANO LN
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City | PALMETTO
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State | FL
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Zip | 34221-5606
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Country | US
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Telephone | 941-812-0823
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Fax |
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Provider Business Mailing Address
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Address Line | 4106 POMPANO LN
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City | PALMETTO
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State | FL
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Zip | 34221-5606
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Country | US
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Telephone | 941-812-0823
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAYMOND RAITZ
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Credential | MD
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Telephone | 941-812-0823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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