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General NPI Number Information
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NPI Number | 1598084311
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Entity Type | Individual
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Provider Name | NINA LEAH WATSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 2600 HWY 301 S
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City | JESUP
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State | GA
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Zip | 31599-0001
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Country | US
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Telephone | 912-427-0870
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Fax | 912-427-1250
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Provider Business Mailing Address
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Address Line | 2600 HWY 301 S
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City | JESUP
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State | GA
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Zip | 31599-0001
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Country | US
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Telephone | 912-427-0870
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Fax | 912-427-1250
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS23348
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License Number State | FL
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