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General NPI Number Information
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NPI Number | 1144548702
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Entity Type | Organization
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Legal Business Name | ANNA E. NEWMAN, D.M.D., PSC
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 436 MAIN ST
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City | PARIS
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State | KY
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Zip | 40361-1813
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Country | US
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Telephone | 859-987-5550
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Fax | 859-987-2465
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Provider Business Mailing Address
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Address Line | 436 MAIN ST
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City | PARIS
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State | KY
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Zip | 40361-1813
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Country | US
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Telephone | 859-987-5550
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Fax | 859-987-2465
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARY BROWN BROWN
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Credential |
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Telephone | 859-987-5550
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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 | 6485
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License Number State | KY
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