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General NPI Number Information
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NPI Number | 1396858247
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Entity Type | Individual
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Provider Name | WATSON C ARNOLD MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 3601 4TH STREET STOP 9406
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City | LUBBOCK
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State | TX
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Zip | 79430-9406
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Country | US
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Telephone | 806-743-7336
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Fax | 806-743-7329
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Provider Business Mailing Address
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Address Line | 3601 4TH STREET STOP 9903
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City | LUBBOCK
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State | TX
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Zip | 79430-9903
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Country | US
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Telephone | 806-743-7336
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Fax | 806-743-7329
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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 | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | D6930
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License Number State | TX
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