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General NPI Number Information
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NPI Number | 1154310688
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Entity Type | Individual
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Provider Name | ADAM T NEWMAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 203 NACOGDOCHES ST SUITE 280
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City | JACKSONVILLE
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State | TX
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Zip | 75766-2462
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Country | US
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Telephone | 903-541-5390
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Fax | 903-541-5393
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Provider Business Mailing Address
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Address Line | 203 NACOGDOCHES ST STE 370
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City | JACKSONVILLE
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State | TX
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Zip | 75766-2444
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Country | US
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Telephone | 903-541-5396
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Fax | 903-541-5490
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | Q0135
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 37932
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01059367A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101247116
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 2021014176
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License Number State | MO
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