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General NPI Number Information
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NPI Number | 1275954588
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Entity Type | Individual
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Provider Name | CHRISTOPHER NEWELL MD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2014
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Last Update Date | 01/04/2014
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Provider Practice Location Address
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Address Line | 11357 NUCKOLS RD # 163
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5504
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Country | US
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Telephone | 804-833-8795
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Fax | 703-802-4730
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Provider Business Mailing Address
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Address Line | PO BOX 710080
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City | HERNDON
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State | VA
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Zip | 20171-0080
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Country | US
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Telephone | 804-833-8795
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Fax | 703-802-4730
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101228183
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License Number State | VA
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