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General NPI Number Information
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NPI Number | 1578138178
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Entity Type | Individual
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Provider Name | HALEY WATTERS
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Gender | Female
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 9 OLDE EASTWOOD VILLAGE BLVD
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City | ASHEVILLE
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State | NC
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Zip | 28803-1670
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Country | US
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Telephone | 828-298-1370
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Fax |
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Provider Business Mailing Address
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Address Line | 26 SPRING HILL CIR
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City | ARDEN
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State | NC
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Zip | 28704-9232
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Country | US
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Telephone | 828-691-0937
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A6387
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License Number State | NC
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