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General NPI Number Information
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NPI Number | 1801106950
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Entity Type | Individual
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Provider Name | CLARA LOIUSE WATTS MT
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Gender | Female
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 915 MAIN ST. SUITE 201
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659
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Country | US
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Telephone | 336-838-7037
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Fax |
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Provider Business Mailing Address
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Address Line | 915 MAIN ST SUITE 201
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-4254
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Country | US
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Telephone | 336-838-7037
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 00449
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License Number State | NC
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