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General NPI Number Information
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NPI Number | 1356576888
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Entity Type | Individual
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Provider Name | JOHANNA ROSE NEWTON MD
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Gender | Female
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 2605 N LEBANON ST
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City | LEBANON
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State | IN
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Zip | 46052-1476
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Country | US
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Telephone | 765-485-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 2553 TWIN LAKES DR
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City | CARMEL
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State | IN
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Zip | 46074-1106
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Country | US
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Telephone | 248-310-2304
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01070334A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 01070334A
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License Number State | IN
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