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General NPI Number Information
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NPI Number | 1427868082
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Entity Type | Individual
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Provider Name | MICHAEL T WATKINS DC
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Gender | Male
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 3603 LAS VEGAS BLVD N STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89115-0590
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Country | US
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Telephone | 702-867-1745
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 293
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City | MOAPA
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State | NV
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Zip | 89025-0293
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Country | US
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Telephone | 314-703-2372
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | B02078
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License Number State | NV
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