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General NPI Number Information
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NPI Number | 1699662650
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Entity Type | Individual
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Provider Name | ANGELICA WATTS
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 35325 DATE PALM DR STE 122
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-7030
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Country | US
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Telephone | 442-307-3395
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Fax |
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Provider Business Mailing Address
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Address Line | 84443 PASSAGIO LAGO WAY
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City | INDIO
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State | CA
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Zip | 92203-2931
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Country | US
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Telephone | 760-902-0956
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 149335
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License Number State | CA
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