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General NPI Number Information
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NPI Number | 1235165028
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Entity Type | Individual
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Provider Name | IRIS NEWBURY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 23276 S POINTE DR SUITE 217
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1432
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Country | US
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Telephone | 949-338-4357
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Fax | 714-827-3331
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Provider Business Mailing Address
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Address Line | 9678 OAKMOUNT ST
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City | CYPRESS
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State | CA
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Zip | 90630-3724
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Country | US
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Telephone | 714-349-4357
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Fax | 714-827-3331
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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 | PSY17080
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License Number State | CA
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