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General NPI Number Information
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NPI Number | 1386623817
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Entity Type | Individual
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Provider Name | KEITH A WATSON MD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 100 KAHOE LN
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City | YELLOW SPRINGS
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State | OH
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Zip | 45387-1243
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Country | US
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Telephone | 937-767-7311
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Fax | 937-767-7107
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Provider Business Mailing Address
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Address Line | 100 KAHOE LN
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City | YELLOW SPRINGS
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State | OH
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Zip | 45387-1243
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Country | US
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Telephone | 937-767-7311
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Fax | 937-767-7107
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35-04-3758-W
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License Number State | OH
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