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General NPI Number Information
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NPI Number | 1588931570
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Entity Type | Organization
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Legal Business Name | ROBERT NEWTON OD PA
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Dates
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Enumeration Date | 11/19/2011
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Last Update Date | 11/19/2011
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Provider Practice Location Address
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Address Line | 4419 CENTRAL AVE
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City | HOT SPRINGS
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State | AR
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Zip | 71913
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Country | US
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Telephone | 501-525-7474
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Fax | 501-525-7475
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Provider Business Mailing Address
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Address Line | PO BOX 22087
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City | HOT SPRINGS
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State | AR
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Zip | 71903-2087
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Country | US
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Telephone | 501-525-7474
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Fax | 501-525-7475
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. ROBERT NEWTON
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Credential | OD
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Telephone | 501-525-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2276
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License Number State | AR
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