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General NPI Number Information
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NPI Number | 1699488643
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Entity Type | Individual
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Provider Name | KARL WATTS
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Gender | Male
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 1107 S BEELINE HWY STE 3
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City | PAYSON
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State | AZ
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Zip | 85541-5903
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Country | US
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Telephone | 480-427-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 S BEELINE HWY STE 3
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City | PAYSON
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State | AZ
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Zip | 85541-5903
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Country | US
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Telephone | 480-427-7742
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | THAD14060
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License Number State | AZ
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