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General NPI Number Information
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NPI Number | 1174160923
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Entity Type | Organization
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Legal Business Name | NEWELL HEALTH
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 10208 CERNY ST STE 308
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City | RALEIGH
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State | NC
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Zip | 27617-7885
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Country | US
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Telephone | 919-641-0314
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Fax |
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Provider Business Mailing Address
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Address Line | 8311 BRIER CREEK PKWY STE 105320
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City | RALEIGH
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State | NC
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Zip | 27617-7328
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JUDY BRANGMAN
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Credential | MD
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Telephone | 919-641-0314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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