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General NPI Number Information
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NPI Number | 1972272094
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Entity Type | Individual
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Provider Name | NEWT RUSSELL LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 327 EAGLE DR
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City | OHKAY OWINGEH
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State | NM
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Zip | 87566-3600
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Country | US
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Telephone | 505-901-3152
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Fax | 505-852-1378
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Provider Business Mailing Address
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Address Line | 327 EAGLE DR
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City | OHKAY OWINGEH
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State | NM
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Zip | 87566-3600
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Country | US
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Telephone | 505-692-4808
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Fax | 505-852-1378
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 1201
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWB-2025-1153
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License Number State | NM
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