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General NPI Number Information
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NPI Number | 1790417871
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Entity Type | Individual
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Provider Name | WILLIAM J WATSON JR. CRNP
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Gender | Male
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 2741 MACARTHUR RD
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City | WHITEHALL
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State | PA
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Zip | 18052-3632
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Country | US
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Telephone | 610-403-6000
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Fax | 610-403-6010
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 4
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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Country | US
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Telephone | 484-330-1377
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP025967
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP025967
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License Number State | PA
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