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General NPI Number Information
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NPI Number | 1053544825
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Entity Type | Organization
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Legal Business Name | ROBERT D. NEWTON D.M.D. AND ASSOCIATES L.L.C.
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 107 3RD ST N
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City | AMORY
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State | MS
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Zip | 38821-3422
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Country | US
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Telephone | 662-256-3501
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Fax | 662-256-4316
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Provider Business Mailing Address
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Address Line | 107 3RD ST N
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City | AMORY
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State | MS
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Zip | 38821-3422
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Country | US
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Telephone | 662-256-3501
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Fax | 662-256-4316
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT D NEWTON
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Credential |
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Telephone | 662-256-3501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1940-81
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License Number State | MS
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