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General NPI Number Information
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NPI Number | 1053586073
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Entity Type | Organization
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Legal Business Name | THOMAS D. NEWELL PLLC
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1214 PRIMROSE LN
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City | DENTON
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State | TX
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Zip | 76201-2551
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Country | US
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Telephone | 940-566-1444
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Fax | 940-566-8746
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Provider Business Mailing Address
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Address Line | 1214 PRIMROSE LN
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City | DENTON
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State | TX
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Zip | 76201-2551
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Country | US
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Telephone | 940-566-1444
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Fax | 940-566-8746
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS DAVID NEWELL
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Credential | DRNP, FNP-BC
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Telephone | 940-566-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | K2701
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License Number State | TX
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