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General NPI Number Information
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NPI Number | 1376400135
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Entity Type | Organization
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Legal Business Name | THE NEWBERRY INSTITUTE
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 89 COMMERCE ST
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-8416
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Country | US
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Telephone | 202-455-9284
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1112
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-7112
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Country | US
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Telephone | 202-455-9284
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIUS JOHNSON
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Credential |
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Telephone | 202-455-9284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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