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General NPI Number Information
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NPI Number | 1023108347
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Entity Type | Organization
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Legal Business Name | NEWMAN COUNSELING ALTERNATIVES, P.A.
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Dates
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Enumeration Date | 10/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1240 MASON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-4502
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Country | US
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Telephone | 386-253-4559
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Fax | 386-253-3838
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Provider Business Mailing Address
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Address Line | 1240 MASON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-4502
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Country | US
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Telephone | 386-253-4559
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Fax | 386-253-3838
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Authorized Official
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Title or Position | CO-OWNER
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Name | THOMAS W.G. NEWMAN
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Credential | M.A., L.M.F.T.
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Telephone | 386-253-4559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT0001005
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License Number State | FL
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