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General NPI Number Information
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NPI Number | 1245032259
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Entity Type | Individual
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Provider Name | RENITA NEWTON
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 5402 S STAPLES ST STE 109
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4656
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Country | US
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Telephone | 361-271-4973
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 CIMARRON BLVD APT 156
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-3781
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Country | US
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Telephone | 985-351-8650
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 83518
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License Number State | TX
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