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General NPI Number Information
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NPI Number | 1043591555
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Entity Type | Individual
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Provider Name | DAVID NATHANIEL NEWBY APRN
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Gender | Male
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 9400 4TH ST N STE 110
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-2525
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Country | US
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Telephone | 727-308-3338
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Fax | 727-308-3344
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Provider Business Mailing Address
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Address Line | 9400 4TH ST N STE 110
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2525
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Country | US
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Telephone | 727-308-3338
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Fax | 727-308-3344
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9318418
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN9318418
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9318418
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License Number State | FL
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