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General NPI Number Information
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NPI Number | 1972120301
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Entity Type | Individual
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Provider Name | ELIZABETH ANN WATTS
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Gender | Female
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 10618 RIVERSIDE DR
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City | POWELL
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State | OH
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Zip | 43065-8758
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Country | US
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Telephone | 614-361-3505
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Fax |
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Provider Business Mailing Address
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Address Line | 411 HOBRON LN APT 2212
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City | HONOLULU
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State | HI
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Zip | 96815-1215
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Country | US
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Telephone | 614-361-3505
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-2954
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License Number State | HI
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