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General NPI Number Information
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NPI Number | 1629370119
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Entity Type | Individual
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Provider Name | SABRINA LORETTA WATSON LPN
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Gender | Female
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Dates
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Enumeration Date | 12/03/2010
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 2021 SOUTH WINTON ROAD
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City | ROCHESTER
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State | NY
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Zip | 14618
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Country | US
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Telephone | 585-427-7760
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Fax |
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Provider Business Mailing Address
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Address Line | 148 GRECIAN GARDENS DR APT A
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City | ROCHESTER
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State | NY
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Zip | 14626-2609
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Country | US
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Telephone | 585-465-7373
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 302677-1
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License Number State | NY
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