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General NPI Number Information
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NPI Number | 1851303085
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Entity Type | Individual
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Provider Name | HEATHER MARIE WATT O.T.D., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6979 S HOLLY CIR STE 105
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City | CENTENNIAL
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State | CO
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Zip | 80112-1065
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Country | US
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Telephone | 303-694-2295
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Fax | 303-694-1843
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Provider Business Mailing Address
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Address Line | 6979 S HOLLY CIR STE 105
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City | CENTENNIAL
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State | CO
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Zip | 80112-1577
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Country | US
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Telephone | 303-694-2295
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Fax | 303-694-1843
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1046488
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 1266
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License Number State | CO
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