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NPI 1659350635

NPI 1659350635 : CARRIE HOLM NEWELL D.D.S : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1659350635
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    Entity Type          |    Individual 
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    Provider Name        |    CARRIE HOLM NEWELL D.D.S
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/10/2006
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    Last Update Date     |    12/15/2025
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Provider Practice Location Address
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    Address Line         |    5333 INDIAN RIVER RD 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23464-5320
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    Country              |    US
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    Telephone            |    757-420-1507
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    Fax                  |    757-424-7920
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Provider Business Mailing Address
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    Address Line         |    5333 INDIAN RIVER RD 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23464-5320
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    Country              |    US
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    Telephone            |    757-420-1507
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    Fax                  |    757-424-7920
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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       |    10798
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    License Number State |    VA
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