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General NPI Number Information
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NPI Number | 1538950456
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Entity Type | Individual
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Provider Name | NICOLE WATKINS OTR/L, OTD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 3321 BALLARD LN
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City | NEW ALBANY
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State | IN
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Zip | 47150-7267
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Country | US
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Telephone | 812-903-9633
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Fax | 812-984-0004
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Provider Business Mailing Address
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Address Line | 3321 BALLARD LN
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City | NEW ALBANY
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State | IN
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Zip | 47150-7267
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Country | US
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Telephone | 812-903-9633
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Fax | 812-984-0004
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31008704A
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License Number State | IN
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