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General NPI Number Information
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NPI Number | 1336313444
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Entity Type | Individual
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Provider Name | HOWARD KENNETH WATSON MA
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Gender | Male
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 971 HARRISON AVE YOUTH HEALTH SERVICE INC
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 304-636-9450
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Fax | 304-636-7057
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Provider Business Mailing Address
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Address Line | 971 HARRISON AVE YOUTH HEALTH SERVICE INC
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 304-636-9450
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Fax | 304-636-7057
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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