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General NPI Number Information
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NPI Number | 1982919858
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Entity Type | Individual
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Provider Name | WILLIAM DAVID WATKINS RPH
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Gender | Male
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 9045 W INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85037-2029
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Country | US
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Telephone | 623-877-3186
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Fax | 623-877-3193
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Provider Business Mailing Address
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Address Line | 12510 S 175TH AVE
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City | GOODYEAR
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State | AZ
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Zip | 85338-5762
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Country | US
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Telephone | 623-293-0372
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Fax | 623-877-3193
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12293
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License Number State | AZ
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