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General NPI Number Information
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NPI Number | 1558714865
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Entity Type | Organization
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Legal Business Name | ROBERT W WATSON, MD, LTD
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 661 SIERRA ROSE DR
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City | RENO
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State | NV
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Zip | 89511-2060
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Country | US
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Telephone | 775-747-5050
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Fax | 775-747-5005
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Provider Business Mailing Address
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Address Line | 580 E PLUMB LN
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City | RENO
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State | NV
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Zip | 89502-3504
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Country | US
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Telephone | 775-747-5050
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT W WATSON
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Credential | MD
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Telephone | 775-747-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 9076
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License Number State | NV
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