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General NPI Number Information
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NPI Number | 1053377697
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Entity Type | Individual
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Provider Name | JENNIFER L NEWTON MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 24411 HEALTH CENTER DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3651
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Country | US
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Telephone | 949-461-5200
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Fax | 949-951-6673
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Provider Business Mailing Address
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Address Line | 2100 POWELL ST SUITE 9
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City | EMERYVILLE
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State | CA
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Zip | 94608-1826
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Country | US
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Telephone | 510-350-2600
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Fax | 510-879-9088
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A73288
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License Number State | CA
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