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General NPI Number Information
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NPI Number | 1295376101
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Entity Type | Individual
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Provider Name | ROBERT DANIEL NEWCOMB APRN
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Gender | Male
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 601 DR MARTIN LUTHER KING JR AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3619
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Country | US
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Telephone | 505-727-3170
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Fax |
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Provider Business Mailing Address
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Address Line | 13067 TELECOM PARKWAY N.
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City | TAMPA
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State | FL
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Zip | 33637
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Country | US
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Telephone | 813-779-6303
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP61622226
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 202207183NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2019038218
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11008204
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 81458
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License Number State | NM
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