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General NPI Number Information
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NPI Number | 1962525725
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Entity Type | Organization
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Legal Business Name | JULIE L. WATSON
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 211 BARKER RD
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City | HENDERSON
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State | KY
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Zip | 42420-2305
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Country | US
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Telephone | 812-453-2452
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Fax | 270-831-1875
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Provider Business Mailing Address
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Address Line | 211 BARKER RD
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City | HENDERSON
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State | KY
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Zip | 42420-2305
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Country | US
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Telephone | 812-453-2452
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Fax | 270-831-1875
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MRS. JULIE L WATSON
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Credential | M.A.-SLP
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Telephone | 812-453-2452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 282N00000X
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22000028A
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License Number State | IN
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