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General NPI Number Information
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NPI Number | 1679520936
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Entity Type | Individual
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Provider Name | ROBERT KARL WATSON NP
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 194 PLEASANT ST SUITE 1
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City | CONCORD
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State | NH
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Zip | 03301-2952
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Country | US
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Telephone | 603-225-9396
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Fax |
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Provider Business Mailing Address
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Address Line | 222 SWAN RD
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City | HERMON
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State | ME
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Zip | 04401-0347
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Country | US
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Telephone | 207-848-9856
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 056073-23-08
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License Number State | NH
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