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General NPI Number Information
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NPI Number | 1245639764
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Entity Type | Organization
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Legal Business Name | STEVEN D NEWTON PHYSICAL THERAPIST INC
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 3413 W PACIFIC AVE 102
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City | BURBANK
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State | CA
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Zip | 91505-1555
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Country | US
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Telephone | 818-953-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 10040 MERITAGE CT
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City | SUN VALLEY
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State | CA
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Zip | 91352-4203
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Country | US
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Telephone | 818-953-4444
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN DOUGLAS NEWTON
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Credential |
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Telephone | 310-880-6607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT15811
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License Number State | CA
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