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General NPI Number Information
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NPI Number | 1730199324
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Entity Type | Individual
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Provider Name | CHARLES E NEWBY DC
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 415 N RIVER AVE
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City | IRON RIVER
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State | MI
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Zip | 49935-1442
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Country | US
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Telephone | 906-265-5175
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Fax | 906-265-6575
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Provider Business Mailing Address
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Address Line | 415 N RIVER AVE
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City | IRON RIVER
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State | MI
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Zip | 49935-1442
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Country | US
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Telephone | 906-265-5175
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Fax | 906-265-6575
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CN003047
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License Number State | MI
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