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General NPI Number Information
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NPI Number | 1669793592
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Entity Type | Individual
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Provider Name | CHRISTINA SUAREZ WATKINS D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 01/09/2014
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Provider Practice Location Address
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Address Line | 1999 LINCOLN DR
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City | SARASOTA
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State | FL
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Zip | 34236-9120
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Country | US
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Telephone | 941-365-4418
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Fax |
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Provider Business Mailing Address
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Address Line | 1999 LINCOLN DR
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City | SARASOTA
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State | FL
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Zip | 34236-9120
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Country | US
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Telephone | 941-365-4418
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN 19034
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License Number State | FL
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