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General NPI Number Information
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NPI Number | 1518143049
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Entity Type | Organization
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Legal Business Name | ZENJA WATKINS MD INC
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 9381 E STOCKTON BLVD SUITE 216
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City | ELK GROVE
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State | CA
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Zip | 95624-5070
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Country | US
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Telephone | 916-683-6555
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Fax | 916-683-3757
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Provider Business Mailing Address
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Address Line | 9381 E STOCKTON BLVD SUITE 216
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City | ELK GROVE
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State | CA
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Zip | 95624-5070
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Country | US
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Telephone | 916-683-6555
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Fax | 916-683-3757
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Authorized Official
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Title or Position | OWNER
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Name | ZENJA JOWAANA WATKINS
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Credential | M.D.
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Telephone | 916-683-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A60596
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A605960
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License Number State | CA
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