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General NPI Number Information
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NPI Number | 1457064495
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Entity Type | Individual
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Provider Name | TWANNA MONIQUE WATSON LPC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 730 W GRAND AVE UNIT 3103
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City | ESCONDIDO
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State | CA
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Zip | 92025-2581
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Country | US
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Telephone | 832-881-0258
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Fax |
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Provider Business Mailing Address
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Address Line | 730 W GRAND AVE APT 214
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City | ESCONDIDO
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State | CA
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Zip | 92025-2580
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Country | US
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Telephone | 832-881-0258
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 77042
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License Number State | TX
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