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General NPI Number Information
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NPI Number | 1447618087
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Entity Type | Individual
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Provider Name | DEBRA JEANNE WATSON APN-FNP
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Gender | Female
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1010 E FAIRCHILD ST
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City | DANVILLE
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State | IL
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Zip | 61832-3393
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Country | US
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Telephone | 217-443-7105
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Fax |
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Provider Business Mailing Address
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Address Line | 4212 MISSOURI FLAT RD
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City | PLACERVILLE
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State | CA
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Zip | 95667-6269
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Country | US
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Telephone | 306-217-7005
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95029601
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209013776
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License Number State | IL
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