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General NPI Number Information
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NPI Number | 1922872951
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Entity Type | Individual
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Provider Name | GRANT NEWTON
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Gender | Male
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1555 US HIGHWAY 380 STE 900
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City | FRISCO
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State | TX
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Zip | 75033-0178
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Country | US
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Telephone | 972-346-5634
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Fax | 469-214-4127
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP032369T
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | TX
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