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General NPI Number Information
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NPI Number | 1861942906
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Entity Type | Individual
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Provider Name | REED WATSON MS, LMFTA
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Gender | Male
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 9205 BAILEYWICK RD 200
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City | RALEIGH
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State | NC
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Zip | 27615-1977
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Country | US
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Telephone | 919-845-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 701 TADLOCK DR
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City | RALEIGH
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State | NC
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Zip | 27614-9238
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 11069A
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License Number State | NC
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