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General NPI Number Information
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NPI Number | 1750613683
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Entity Type | Individual
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Provider Name | TENAYA N WATSON
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Gender | Female
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 208 I ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4340
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Country | US
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Telephone | 202-240-2870
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Fax |
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Provider Business Mailing Address
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Address Line | 300 S TWINING ST
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City | MAXWELL AFB
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State | AL
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Zip | 36112
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Country | US
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Telephone | 334-953-5143
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Fax | 334-953-8296
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY1061
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License Number State | HI
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