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General NPI Number Information
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NPI Number | 1477826220
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Entity Type | Individual
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Provider Name | KIMBERLY A WATTS LPC
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Gender | Female
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 11/17/2019
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Provider Practice Location Address
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Address Line | 509 N HIGHWAY 95
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City | ELGIN
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State | TX
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Zip | 78621
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Country | US
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Telephone | 512-229-4001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 264
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City | ELGIN
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State | TX
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Zip | 78621-0264
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Country | US
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Telephone | 512-229-4001
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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 | 68140
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License Number State | TX
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