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General NPI Number Information
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NPI Number | 1063531903
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Entity Type | Individual
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Provider Name | KATHLEEN K NEWSON PTA
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 CIVIC AVE
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City | SALISBURY
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State | MD
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Zip | 21804-4599
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Country | US
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Telephone | 410-749-1466
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Fax | 410-749-9264
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Provider Business Mailing Address
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Address Line | 29958 MT LAUREL DR
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City | DAGSBORO
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State | DE
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Zip | 19939
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Country | US
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Telephone | 302-934-6543
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A2571
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License Number State | MD
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