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General NPI Number Information
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NPI Number | 1609504869
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Entity Type | Individual
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Provider Name | JAMIE WATKINS DPT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 728 N FERDON BLVD STE 3
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City | CRESTVIEW
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State | FL
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Zip | 32536-2166
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Country | US
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Telephone | 850-682-7772
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Fax | 888-308-1539
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Provider Business Mailing Address
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Address Line | PO BOX 632673
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City | CINCINNATI
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State | OH
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Zip | 45263-2673
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Country | US
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Telephone | 850-682-7772
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Fax | 888-308-1539
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT39235
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License Number State | FL
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