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General NPI Number Information
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NPI Number | 1487062840
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Entity Type | Individual
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Provider Name | JEWZONIA LEE WATSON MT144266
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Gender | Female
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 3505 N WARE RD STE E
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City | MCALLEN
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State | TX
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Zip | 78501-3370
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Country | US
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Telephone | 956-295-6137
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Fax | 956-331-8066
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Provider Business Mailing Address
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Address Line | 3505 N WARE RD STE E
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City | MCALLEN
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State | TX
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Zip | 78501-3370
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Country | US
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Telephone | 956-295-6137
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Fax | 956-331-8066
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60464307
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT144266
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License Number State | TX
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