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General NPI Number Information
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NPI Number | 1164593216
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Entity Type | Individual
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Provider Name | MARY NEWMAN MD
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Gender | Female
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | US DEPARTMENT OF STATE 2401 E ST. NW
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City | WASHINGTON
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State | DC
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Zip | 20522-0001
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Country | US
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Telephone | 202-663-1662
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Fax |
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Provider Business Mailing Address
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Address Line | US EMBASSY BOGOTA UNIT 5145
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City | APO
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State | AA
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Zip | 34038
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Country | CO
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 31981
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | 0101253037
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License Number State | VA
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