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General NPI Number Information
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NPI Number | 1093325458
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Entity Type | Organization
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Legal Business Name | NEWTON MEDICAL & TELEHEALTH CLINIC
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 109 SCHOOL STREET EXT
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City | NEWTON
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State | MS
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Zip | 39345-2272
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Country | US
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Telephone | 601-678-6713
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Fax | 601-483-5569
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Provider Business Mailing Address
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Address Line | PO BOX 3189
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City | MERIDIAN
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State | MS
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Zip | 39303-3189
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Country | US
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Telephone | 601-917-0810
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Fax | 601-483-5569
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAZEE AMEIR AHMAD
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Credential | MD
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Telephone | 601-917-0810
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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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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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