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General NPI Number Information
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NPI Number | 1285541060
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Entity Type | Individual
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Provider Name | RANDY JOE NEWELL JR. CPNP-PC
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Gender | Male
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 1103 N ELM ST STE 300
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City | GREENSBORO
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State | NC
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Zip | 27401-6312
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Country | US
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Telephone | 336-272-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 BLOOM ST
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City | GREENSBORO
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State | NC
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Zip | 27410-3062
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Country | US
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Telephone | 336-272-6161
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5025034
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License Number State | NC
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