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General NPI Number Information
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NPI Number | 1497821763
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Entity Type | Individual
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Provider Name | VALERIE LEIGH WATIKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 18375 VENTURA BLVD # 569
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City | TARZANA
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State | CA
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Zip | 91356-4218
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Country | US
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Telephone | 310-360-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 18375 VENTURA BLVD # 569
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City | TARZANA
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State | CA
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Zip | 91356-4218
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Country | US
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Telephone | 310-360-8383
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | A83345
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A83345
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License Number State | CA
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