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General NPI Number Information
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NPI Number | 1003923640
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Entity Type | Organization
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Legal Business Name | J. T. L. MCNEW, M.D., FAAFP
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 207 SULPHUR SPRINGS RD
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City | BRYAN
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State | TX
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Zip | 77801-3134
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Country | US
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Telephone | 979-823-8101
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Fax | 979-822-7620
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Provider Business Mailing Address
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Address Line | 207 SULPHUR SPRINGS RD
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City | BRYAN
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State | TX
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Zip | 77801-3134
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Country | US
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Telephone | 979-823-8101
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Fax | 979-822-7620
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Authorized Official
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Title or Position | ACCOUNTS REPRESENTATIVE
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Name | MATT WESTFALL
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Credential |
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Telephone | 979-776-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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