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General NPI Number Information
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NPI Number | 1942379045
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Entity Type | Organization
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Legal Business Name | STERLING L. WATSON DMD PA
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 236 E JEFFERSON ST
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City | QUINCY
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State | FL
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Zip | 32351-2427
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Country | US
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Telephone | 850-627-9164
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Fax |
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Provider Business Mailing Address
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Address Line | 236 E JEFFERSON ST
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City | QUINCY
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State | FL
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Zip | 32351-2427
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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 | DENTIST
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Name | DR. STERLING L. WATSON
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Credential | DMD
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Telephone | 850-627-9164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN9501
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License Number State | FL
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