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General NPI Number Information
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NPI Number | 1447790183
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Entity Type | Individual
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Provider Name | CALVIN EDGAR NEWSOME JR. FNP-C
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Gender | Male
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 46 EATON DR STE 1
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City | PAGOSA SPRINGS
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State | CO
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Zip | 81147-8203
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Country | US
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Telephone | 970-880-0951
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Fax | 970-507-6016
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Provider Business Mailing Address
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Address Line | 46 EATON DR STE 1
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City | PAGOSA SPRINGS
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State | CO
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Zip | 81147-8203
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Country | US
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Telephone | 970-880-0951
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Fax | 970-507-6016
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN-0992964-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0992964-NP
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License Number State | CO
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