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General NPI Number Information
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NPI Number | 1952405466
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Entity Type | Individual
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Provider Name | RONALD EDWARD NEWTH OD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6145 N 35TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85017-1940
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Country | US
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Telephone | 602-973-6567
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Fax | 602-973-6569
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Provider Business Mailing Address
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Address Line | 1725 E. KAEL ST.
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City | MESA
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State | AZ
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Zip | 85203-2161
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Country | US
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Telephone | 480-641-5555
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Fax | 480-654-2020
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0167
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License Number State | AZ
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