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General NPI Number Information
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NPI Number | 1679165179
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Entity Type | Individual
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Provider Name | JOHN WILLIAM WATSON RPH
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Gender | Male
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 712 TRAM RD
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City | WHITEVILLE
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State | NC
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Zip | 28472-3520
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Country | US
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Telephone | 910-642-0388
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Fax | 800-304-6736
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Provider Business Mailing Address
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Address Line | 204 ANDERSON ST
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City | TABOR CITY
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State | NC
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Zip | 28463-2531
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Country | US
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Telephone | 910-840-2955
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Fax | 800-304-6736
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9766
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License Number State | NC
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