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General NPI Number Information
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NPI Number | 1861264913
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Entity Type | Individual
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Provider Name | EMILY MICHELE WATSON PA
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Gender | Female
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 40 ELMO DR
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City | CROSSVILLE
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State | TN
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Zip | 38555-4807
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Country | US
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Telephone | 931-484-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 SPRING POINTE LN
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City | COOKEVILLE
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State | TN
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Zip | 38506-6043
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Country | US
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Telephone | 615-516-5577
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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