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General NPI Number Information
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NPI Number | 1457900037
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Entity Type | Individual
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Provider Name | TERREL NEWTON
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Gender | Male
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 269 GREENVILLE AVE UNIT E
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City | JOHNSTON
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State | RI
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Zip | 02919-2656
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Country | US
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Telephone | 401-237-2487
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Fax | 401-200-3647
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Provider Business Mailing Address
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Address Line | 29 WAYNE ST
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City | WARWICK
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State | RI
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Zip | 02889-2424
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Country | US
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Telephone | 401-237-2487
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Fax | 401-200-3647
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC01861
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License Number State | RI
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