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General NPI Number Information
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NPI Number | 1780318055
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Entity Type | Individual
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Provider Name | CARALINE CLAIRE WATKINS
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 9485 MENTOR AVE STE 1
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City | MENTOR
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State | OH
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Zip | 44060-8711
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Country | US
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Telephone | 440-305-5833
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Fax |
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Provider Business Mailing Address
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Address Line | 7590 AUBURN RD #002
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City | PAINESVILLE
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State | OH
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Zip | 44077
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Country | US
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Telephone | 440-375-8790
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 03440786
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License Number State | OH
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