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General NPI Number Information
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NPI Number | 1336319482
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Entity Type | Individual
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Provider Name | ALISON L WATKINS M.M.S PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 6252 YELLOWSTONE RD
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City | CHEYENNE
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State | WY
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Zip | 82009-3432
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Country | US
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Telephone | 307-778-2015
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Fax | 307-778-7060
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Provider Business Mailing Address
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Address Line | PO BOX 603725
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City | CHARLOTTE
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State | NC
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Zip | 28260-3725
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Country | US
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Telephone | 828-575-2625
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Fax | 828-350-2174
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 435
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License Number State | WY
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