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General NPI Number Information
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NPI Number | 1487519344
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Entity Type | Individual
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Provider Name | KEARA K NEWTON
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1401 BRANDING AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1158
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Country | US
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Telephone | 331-254-4464
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 BRANDING AVE STE 345
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1185
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Country | US
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Telephone | 331-254-4464
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.019693
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License Number State | IL
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