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General NPI Number Information
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NPI Number | 1336590728
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Entity Type | Individual
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Provider Name | ELIZA NEWBURY-PALMA DO
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Gender | Female
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 3434 M 119 STE C
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City | HARBOR SPRINGS
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State | MI
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Zip | 49740-9373
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Country | US
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Telephone | 231-348-9900
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Fax | 989-358-3780
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Provider Business Mailing Address
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Address Line | 3434 M 119 STE C
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City | HARBOR SPRINGS
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State | MI
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Zip | 49740-9373
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Country | US
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Telephone | 231-348-9900
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Fax | 989-358-3780
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101022801
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License Number State | MI
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