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General NPI Number Information
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NPI Number | 1508156134
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Entity Type | Individual
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Provider Name | REBEKAH JEAN WATKINS
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Gender | Female
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Dates
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Enumeration Date | 04/16/2011
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Last Update Date | 04/16/2011
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Provider Practice Location Address
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Address Line | 532 MAIN ST
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City | BENNINGTON
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State | VT
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Zip | 05201-2875
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Country | US
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Telephone | 802-447-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 196 TURNPIKE RD
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City | EAGLE BRIDGE
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State | NY
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Zip | 12057-2423
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Country | US
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Telephone | 518-681-2946
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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