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General NPI Number Information
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NPI Number | 1417688961
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Entity Type | Individual
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Provider Name | CHEVELLE A NEWTON THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 1879 SOMERTON PL # 1879
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6944
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Country | US
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Telephone | 757-777-7527
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Fax |
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Provider Business Mailing Address
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Address Line | 300 MEDICAL DR
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City | HAMPTON
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State | VA
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Zip | 23666-1765
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Country | US
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Telephone | 757-777-5275
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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