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General NPI Number Information
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NPI Number | 1982181285
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Entity Type | Individual
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Provider Name | VICTORIA WATKINS LMT
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Gender | Female
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 4036 S 6TH ST
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-4750
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Country | US
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Telephone | 541-851-9320
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Fax | 541-851-9322
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Provider Business Mailing Address
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Address Line | 3821 MAZAMA DR
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-7924
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Country | US
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Telephone | 541-887-2071
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Fax | 541-851-9322
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | LMT24225
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License Number State | OR
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