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General NPI Number Information
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NPI Number | 1447224977
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Entity Type | Individual
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Provider Name | LINDSEY ANN WATSON ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 900 N UNIVERSITY DR MACKEY ARENA, ROOM B60
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City | WEST LAFAYETTE
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State | IN
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Zip | 47907
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Country | US
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Telephone | 765-494-9622
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Fax | 765-494-9899
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Provider Business Mailing Address
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Address Line | 2246 S BECK LN APT. 207
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City | LAFAYETTE
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State | IN
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Zip | 47909-2862
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Country | US
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Telephone | 512-818-4811
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 36001267A
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License Number State | IN
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