{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "CLYDE A. NEWTON MD PC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "19 BELMONT AVE",
"SecondLineMailingAddress": "NO 101",
"MailingAddressCityName": "BRATTLEBORO",
"MailingAddressStateName": "VT",
"MailingAddressPostalCode": "05301",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "802-257-0110",
"MailingAddressFaxNumber": "802-257-0127",
"FirstLinePracticeLocationAddress": "19 BELMONT AVE",
"SecondLinePracticeLocationAddress": "NO 101",
"PracticeLocationAddressCityName": "BRATTLEBORO",
"PracticeLocationAddressStateName": "VT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "802-257-0110",
"PracticeLocationAddressFaxNumber": "802-257-0127",
"EnumerationDate": "11/29/2007",
"LastUpdateDate": "11/29/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NEWTON",
"AuthorizedOfficialFirstName": "CLYDE",
"AuthorizedOfficialMiddleName": "A.",
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "802-257-0110",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207W00000X",
"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "0420003916",
"LicenseNumberStateCode": "VT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}