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General NPI Number Information
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NPI Number | 1588544662
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Entity Type | Individual
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Provider Name | ALEXANDRIA FAITH NEWSOME
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 470 N MAYO TRL
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City | PAINTSVILLE
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State | KY
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Zip | 41240-1823
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Country | US
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Telephone | 606-789-8925
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Fax | 606-789-5550
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Provider Business Mailing Address
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Address Line | PO BOX 759
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City | HAGERHILL
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State | KY
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Zip | 41222-0759
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Country | US
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Telephone | 606-422-9696
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 025397
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License Number State | KY
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