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General NPI Number Information
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NPI Number | 1396124442
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Entity Type | Individual
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Provider Name | PETER NEWTON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 9601 ANTIOCH RD
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City | OVERLAND PARK
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State | KS
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Zip | 66212-4061
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Country | US
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Telephone | 913-383-2891
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Fax |
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Provider Business Mailing Address
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Address Line | 15830 NW 125TH ST
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City | PLATTE CITY
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State | MO
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Zip | 64079-7400
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Country | US
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Telephone | 240-413-4093
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 058367
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 15628
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 61525
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License Number State | KS
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