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General NPI Number Information
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NPI Number | 1871488072
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Entity Type | Organization
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Legal Business Name | WATSON FAMILY CLINIC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 206 BEXAR AVE E STE 2
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City | HAMILTON
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State | AL
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Zip | 35570-4013
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Country | US
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Telephone | 205-921-1550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 173
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City | HAMILTON
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State | AL
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Zip | 35570-0173
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Country | US
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Telephone | 205-921-1550
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CODY WATSON
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Credential |
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Telephone | 205-412-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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