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General NPI Number Information
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NPI Number | 1851367718
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Entity Type | Individual
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Provider Name | JOHN V WATKINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 7800 CONSTITUTION AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7552
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Country | US
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Telephone | 702-839-1203
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Fax | 702-839-1301
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Provider Business Mailing Address
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Address Line | 4454 N DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89130-5286
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Country | US
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Telephone | 702-839-1203
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Fax | 702-839-1301
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G67480
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G67480
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | G67480
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD2018-0581
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD2018-0581
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License Number State | NM
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