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General NPI Number Information
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NPI Number | 1437146347
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Entity Type | Individual
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Provider Name | JAMES ROBERT WATTS II R. PH.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 333 NEWBERRY ST NW
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City | AIKEN
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State | SC
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Zip | 29801-3929
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Country | US
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Telephone | 803-649-1776
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Fax | 803-641-0205
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Provider Business Mailing Address
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Address Line | 333 NEWBERRY ST NW
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City | AIKEN
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State | SC
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Zip | 29801-3929
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Country | US
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Telephone | 803-599-1776
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Fax | 803-649-7381
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 6388
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License Number State | SC
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