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General NPI Number Information
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NPI Number | 1265094973
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Entity Type | Individual
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Provider Name | JENNIFER ROBINSON WATSON NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 102 FAIRVIEW DR STE B
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City | FRANKLIN
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State | VA
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Zip | 23851-1206
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Country | US
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Telephone | 757-562-2158
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 639972
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City | CINCINNATI
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State | OH
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Zip | 45263-9972
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0024177814
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License Number State | VA
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