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General NPI Number Information
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NPI Number | 1922241066
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Entity Type | Individual
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Provider Name | JULIE MORRIS WATSON MA, CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2009
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 4830 SOUTH FWY
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City | FORT WORTH
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State | TX
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Zip | 76115-3901
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Country | US
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Telephone | 817-926-3330
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Fax | 817-926-5305
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Provider Business Mailing Address
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Address Line | 505 RIVERCREST DR
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City | FORT WORTH
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State | TX
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Zip | 76107-1640
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Country | US
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Telephone | 817-738-3566
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Fax | 817-738-1905
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 17305
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License Number State | TX
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