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General NPI Number Information
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NPI Number | 1811138696
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Entity Type | Organization
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Legal Business Name | WATTS ENTERPRISES
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 367 OPAL CT
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City | SAGINAW
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State | TX
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Zip | 76179-1507
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Country | US
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Telephone | 817-306-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 N SAGINAW BLVD STE D PMB 202
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City | SAGINAW
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State | TX
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Zip | 76179-1168
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Country | US
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Telephone | 817-306-0066
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KAREN T WATTS
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Credential |
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Telephone | 817-306-0066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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