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General NPI Number Information
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NPI Number | 1871009589
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Entity Type | Individual
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Provider Name | NIKOLAS BRYAN NEWTON PA-C, DO
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Gender | Male
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Dates
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Enumeration Date | 12/18/2017
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1001 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4453
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Country | US
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Telephone | 540-741-7614
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Fax |
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Provider Business Mailing Address
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Address Line | MWHC ANESTHESIOLOGY GME 1001 SAM PERRY BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-07754
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License Number State | NC
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