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General NPI Number Information
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NPI Number | 1508546318
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Entity Type | Individual
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Provider Name | TERRY NEWTON
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Gender | Female
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 7905 MALCOLM ROAD #204
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City | CLINTON
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State | MD
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Zip | 20735
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Country | US
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Telephone | 202-321-0886
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Fax |
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Provider Business Mailing Address
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Address Line | 11778 SUNSET RIDGE PL
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City | WALDORF
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State | MD
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Zip | 20602-3263
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Country | US
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Telephone | 202-321-0886
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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