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General NPI Number Information
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NPI Number | 1932235488
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Entity Type | Individual
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Provider Name | MIRIAM R WATKINS DC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9121 N MILITARY TRAIL SUITE 208
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410
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Country | US
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Telephone | 561-630-2227
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2562
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City | JUPITER
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State | FL
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Zip | 33468-2562
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Country | US
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Telephone | 561-630-2227
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH5964
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License Number State | FL
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