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General NPI Number Information
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NPI Number | 1669723623
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Entity Type | Individual
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Provider Name | DEBORAH WATSON PH.D., LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2012
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Last Update Date | 10/12/2013
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Provider Practice Location Address
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Address Line | 3440 HOLLYWOOD BLVD SUITE 415
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6927
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Country | US
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Telephone | 954-446-5032
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Fax |
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Provider Business Mailing Address
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Address Line | 8362 PINES BLVD #338
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6600
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Country | US
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Telephone | 954-446-5032
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH10959
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10959
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License Number State | FL
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