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General NPI Number Information
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NPI Number | 1376694414
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Entity Type | Organization
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Legal Business Name | CHEVIES L NEWMAN, D.D.S.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 4378 GOVERNMENT ST
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City | BATON ROUGE
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State | LA
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Zip | 70806-5813
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Country | US
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Telephone | 225-383-8359
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Fax | 225-383-8350
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Provider Business Mailing Address
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Address Line | 4378 GOVERNMENT ST
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City | BATON ROUGE
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State | LA
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Zip | 70806-5813
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Country | US
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Telephone | 225-383-8359
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Fax | 225-383-8350
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CHEVIES L NEWMAN
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Credential | D.D.S.
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Telephone | 225-383-8359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2371
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License Number State | LA
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