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General NPI Number Information
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NPI Number | 1780071803
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Entity Type | Individual
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Provider Name | DONNA LEAH WATSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/16/2015
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 7100 PLANTATION RD STE 11
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City | PENSACOLA
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State | FL
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Zip | 32504-6234
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Country | US
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Telephone | 850-206-4845
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Fax | 850-438-4649
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Provider Business Mailing Address
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Address Line | 3620 GOYA CT
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City | PENSACOLA
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State | FL
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Zip | 32504-4522
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Country | US
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Telephone | 850-206-4845
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Fax | 850-438-4649
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 12210
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License Number State | FL
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