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General NPI Number Information
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NPI Number | 1326855339
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Entity Type | Individual
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Provider Name | SHERRY ANN WATSON CNP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 3020 N MCCORD RD STE 200
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City | TOLEDO
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State | OH
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Zip | 43615-1701
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Country | US
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Telephone | 419-843-3349
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Fax |
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Provider Business Mailing Address
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Address Line | 6962 QUEENSMARK LN
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City | WHITEHOUSE
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State | OH
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Zip | 43571-9196
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Country | US
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Telephone | 419-344-1347
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0038494
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | RN199218
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License Number State | OH
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