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General NPI Number Information
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NPI Number | 1386704039
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Entity Type | Individual
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Provider Name | MICHAEL B WATTO DO
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 841 CENTRAL ST
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City | FRANKLIN
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State | NH
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Zip | 03235-2026
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Country | US
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Telephone | 603-934-1464
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Fax |
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Provider Business Mailing Address
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Address Line | 23 WINTERBERRY RD
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City | PLYMOUTH
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State | NH
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Zip | 03264-3524
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-30662
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17141
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License Number State | NH
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