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General NPI Number Information
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NPI Number | 1417351339
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Entity Type | Organization
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Legal Business Name | DON M NEWMAN DDS PC
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 3945 EAGLE CREEK PKWY SUITE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-4691
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Country | US
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Telephone | 317-803-3300
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Fax | 317-803-3303
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Provider Business Mailing Address
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Address Line | 3945 EAGLE CREEK PKWY SUITE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46224
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Country | US
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Telephone | 317-803-3300
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Fax | 317-803-3303
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Authorized Official
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Title or Position | DDS
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Name | MARC NEWMAN
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Credential |
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Telephone | 317-803-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 11655
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License Number State | IN
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