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General NPI Number Information
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NPI Number | 1336708064
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Entity Type | Individual
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Provider Name | GABRIELLA NEWMAN DO
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Gender | Female
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 9150 WILSHIRE BLVD # 105
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3427
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Country | US
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Telephone | 310-402-8997
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Fax |
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Provider Business Mailing Address
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Address Line | 9150 WILSHIRE BLVD # 105
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3427
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Country | US
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Telephone | 310-402-8997
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 20A19368
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A19368
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License Number State | CA
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