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General NPI Number Information
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NPI Number | 1760116081
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Entity Type | Individual
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Provider Name | BECKY WATSON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 555 W SUN ST
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City | MOREHEAD
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State | KY
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Zip | 40351-1563
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Country | US
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Telephone | 606-783-6805
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Fax | 606-783-6869
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Provider Business Mailing Address
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Address Line | 261 COUNTRY LN
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City | FLEMINGSBURG
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State | KY
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Zip | 41041-8054
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3017922
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3017922
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License Number State | KY
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