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General NPI Number Information
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NPI Number | 1891376018
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Entity Type | Organization
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Legal Business Name | NEWTON'S EYES LLC
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 26640 FORT FISHER CT
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City | NORTH DINWIDDIE
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State | VA
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Zip | 23803-7660
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Country | US
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Telephone | 804-528-9249
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Fax |
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Provider Business Mailing Address
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Address Line | 26640 FORT FISHER CT
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City | NORTH DINWIDDIE
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State | VA
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Zip | 23803-7660
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Country | US
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Telephone | 804-528-9249
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATOYA RACQUEL DAWES III
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Credential |
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Telephone | 804-528-9249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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