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General NPI Number Information
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NPI Number | 1154427573
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Entity Type | Individual
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Provider Name | JENNIFER M NEWELL PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 520 E TULARE AVE
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City | VISALIA
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State | CA
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Zip | 93292-3629
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Country | US
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Telephone | 559-619-3919
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Fax |
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Provider Business Mailing Address
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Address Line | 5224 LAKEWOOD DR
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City | VISALIA
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State | CA
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Zip | 93291-9099
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Country | US
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Telephone | 559-331-5663
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY22377
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License Number State | CA
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