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General NPI Number Information
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NPI Number | 1669632972
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Entity Type | Organization
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Legal Business Name | WATSON P ROYE MD PA
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 1911 PORT LN
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City | AMARILLO
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State | TX
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Zip | 79106-2470
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Country | US
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Telephone | 806-331-6283
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Fax | 806-331-6285
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Provider Business Mailing Address
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Address Line | 1911 PORT LN
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City | AMARILLO
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State | TX
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Zip | 79106-2470
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Country | US
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Telephone | 806-331-6283
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Fax | 806-331-6285
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Authorized Official
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Title or Position | PRESIDENT
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Name | WATSON P ROYE JR.
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Credential | MD
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Telephone | 806-331-6283
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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 | G5559
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License Number State | TX
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