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General NPI Number Information
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NPI Number | 1609764166
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Entity Type | Individual
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Provider Name | MADELYN HERRINGTON NEWMAN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1130 BRAMPTON AVE
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City | STATESBORO
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State | GA
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Zip | 30458-0847
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Country | US
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Telephone | 912-764-3724
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Fax |
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Provider Business Mailing Address
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Address Line | 801 IRA GRAHAM RD
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City | HAZLEHURST
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State | GA
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Zip | 31539-5333
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Country | US
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Telephone | 912-253-7931
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN123797
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License Number State | GA
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