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General NPI Number Information
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NPI Number | 1427459510
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Entity Type | Organization
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Legal Business Name | ALAN K NEWMAN DDS PC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 1 HACKER WAY
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City | MENLO PARK
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State | CA
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Zip | 94025-1456
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Country | US
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Telephone | 408-515-5902
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Fax | 650-412-9633
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Provider Business Mailing Address
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Address Line | 241 18TH ST S #403
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City | ARLINGTON
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State | VA
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Zip | 22202-3405
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Country | US
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Telephone | 408-515-5902
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Fax | 650-412-9633
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN KEITH NEWMAN
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Credential | D,D,S
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Telephone | 408-515-5902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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