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General NPI Number Information
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NPI Number | 1194975409
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Entity Type | Organization
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Legal Business Name | NEWMAN, M.D. PLASTIC SURGERY, P.A.
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 130 E 9TH ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-4704
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Country | US
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Telephone | 870-425-6398
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Fax | 870-425-6402
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Provider Business Mailing Address
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Address Line | 130 E 9TH ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-4704
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Country | US
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Telephone | 870-425-6398
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADAM G. NEWMAN
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Credential | M.D.
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Telephone | 879-425-6398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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