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NPI 1700978335

NPI 1700978335 : JO ANN NEWTON FNP : DESOTO, TX

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General NPI Number Information
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    NPI Number           |    1700978335
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    Entity Type          |    Individual 
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    Provider Name        |    JO ANN NEWTON FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/29/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    900 WHITEWATER TRL 
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    City                 |    DESOTO
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    State                |    TX
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    Zip                  |    75115-5443
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    Country              |    US
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    Telephone            |    214-333-3334
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    Fax                  |    800-948-0085
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Provider Business Mailing Address
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    Address Line         |    900 WHITEWATER TRL 
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    City                 |    DESOTO
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    State                |    TX
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    Zip                  |    75115-5443
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    Country              |    US
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    Telephone            |    214-333-3334
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    Fax                  |    800-948-0085
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    222959
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    License Number State |    TX
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