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General NPI Number Information
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NPI Number | 1336029115
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Entity Type | Individual
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Provider Name | SPENCE WATSON
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2901 SQUALICUM PKWY
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City | BELLINGHAM
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State | WA
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Zip | 98225-1851
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Country | US
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Telephone | 369-734-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 2615 LINCOLN ST
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City | BELLINGHAM
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State | WA
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Zip | 98225-3537
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Country | US
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Telephone | 206-724-6702
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN61208462
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License Number State | WA
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