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General NPI Number Information
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NPI Number | 1942298831
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Entity Type | Individual
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Provider Name | ROBERT ERNEST WATKINS JR. DC
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 6430 PLANTATION PARK CT STE 100
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City | FORT MYERS
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State | FL
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Zip | 33966-4815
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Country | US
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Telephone | 239-590-9555
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Fax | 866-254-8158
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Provider Business Mailing Address
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Address Line | 6430 PLANTATION PARK CT STE 100
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City | FORT MYERS
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State | FL
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Zip | 33966-4815
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Country | US
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Telephone | 239-590-9555
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Fax | 866-254-8158
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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 | CH0007331
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License Number State | FL
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