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General NPI Number Information
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NPI Number | 1700210861
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Entity Type | Organization
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Legal Business Name | HARRY C. WATTERS DO MPH-PC
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 604 W WARNER RD E201
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City | CHANDLER
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State | AZ
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Zip | 85225-2906
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Country | US
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Telephone | 480-963-7900
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Fax | 480-732-9478
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Provider Business Mailing Address
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Address Line | 604 W WARNER RD E201
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City | CHANDLER
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State | AZ
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Zip | 85225-2906
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Country | US
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Telephone | 480-963-7900
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Fax | 480-732-9478
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Authorized Official
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Title or Position | OWNER / CEO
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Name | DR. HARRY C WATTERS
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Credential | DO MPH-PC
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Telephone | 480-963-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1927
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License Number State | AZ
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