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General NPI Number Information
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NPI Number | 1306030705
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Entity Type | Individual
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Provider Name | JENNIFER ANNE WATERMAN DO
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Gender | Female
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 690 MINOT AVE STE 2
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City | AUBURN
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State | ME
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Zip | 04210-3969
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Country | US
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Telephone | 207-783-1328
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Fax | 207-783-9086
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Provider Business Mailing Address
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Address Line | 690 MINOT AVE STE 2
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City | AUBURN
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State | ME
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Zip | 04210-3969
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Country | US
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Telephone | 207-783-1328
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Fax | 207-783-9086
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 05-38690
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DO3625
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License Number State | ME
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