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General NPI Number Information
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NPI Number | 1750612370
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Entity Type | Individual
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Provider Name | SHERI KAY WATKINS NP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 02/11/2010
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Provider Practice Location Address
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Address Line | 1278 N LAFAYETTE DR
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City | SUMTER
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State | SC
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Zip | 29150-2964
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Country | US
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Telephone | 803-774-4500
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Fax | 803-774-4641
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Provider Business Mailing Address
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Address Line | 1278 N LAFAYETTE DR
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City | SUMTER
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State | SC
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Zip | 29150-2964
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Country | US
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Telephone | 803-774-4500
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Fax | 803-774-4641
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 107
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | WH107
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License Number State | SC
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