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General NPI Number Information
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NPI Number | 1487429726
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Entity Type | Individual
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Provider Name | KATHERINE BLACKBURN WATSON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 888 BESTGATE RD
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3091
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Country | US
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Telephone | 443-949-3401
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Fax |
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Provider Business Mailing Address
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Address Line | 215 15TH ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-2335
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Country | US
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Telephone | 770-639-2599
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP1053126
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License Number State | DC
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