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General NPI Number Information
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NPI Number | 1417366139
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Entity Type | Organization
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Legal Business Name | NEWMAN PSYCHOLOGY & ASSOICATES PLLC
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 17045 EL CAMINO REAL 213
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City | HOUSTON
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State | TX
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Zip | 77058-2649
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Country | US
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Telephone | 281-488-7792
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Fax | 281-984-7922
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Provider Business Mailing Address
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Address Line | 17045 EL CAMINO REAL 213
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City | HOUSTON
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State | TX
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Zip | 77058-2649
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Country | US
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Telephone | 281-488-7792
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Fax | 281-984-7922
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. VINCENT RAY NEWMAN
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Credential | PHD
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Telephone | 281-488-7792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 63748
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License Number State | TX
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