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General NPI Number Information
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NPI Number | 1538933734
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Entity Type | Individual
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Provider Name | MARIAM FAITH NEWTON
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Gender | Female
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 16655 NW COUNTY ROAD 339
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City | TRENTON
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State | FL
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Zip | 32693-8458
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Country | US
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Telephone | 352-565-2126
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1613
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City | TRENTON
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State | FL
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Zip | 32693-1613
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Country | US
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Telephone | 352-219-0456
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | FL
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